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Minnesota 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
$208.93 / $380.19 / $891.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $323.59 / $691.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,412.54 / $2,818.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $660.69 / $1,174.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,412.54 / $3,388.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $851.14 / $1,621.81
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,348.96 / $2,691.53
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $831.76 / $1,479.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $457.09 / $1,174.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $707.95 / $1,621.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,862.09 / $3,715.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $549.54 / $1,122.02