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South Carolina 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
$416.87 / $1,380.38 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $323.59 / $602.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $323.59 / $575.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $371.54 / $512.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $346.74 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $331.13 / $588.84
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $446.68 / $446.68
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $346.74 / $512.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $1,230.27 / $3,548.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $302.00 / $501.19