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North Dakota 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
$219.13 / $376.84 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.66 / $330.07 / $381.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.94 / $564.17 / $881.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.32 / $671.52 / $1,003.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.13 / $376.84 / $657.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.88 / $672.55 / $2,838.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.55 / $638.35 / $983.35