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Connecticut rates for HCPCS 12054

Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $4,677.35 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $338.84 / $933.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $3,162.28 / $10,471.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $346.74 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $478.63 / $977.24
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $467.74 / $467.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $3,890.45 / $6,760.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $346.74 / $645.65