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Rhode Island 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
$2,089.30 / $2,754.23 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $346.74 / $691.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $295.12 / $467.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $467.74 / $794.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $1,412.54 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $338.84 / $676.08