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Vermont 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
Professional
Modifier
Low / Median / High Price
$221.89 / $365.95 / $582.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.30 / $488.45 / $1,406.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.13 / $493.77 / $1,380.33
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.63 / $543.21 / $1,380.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.46 / $441.03 / $1,549.25