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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
$173.78 / $302.00 / $954.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $478.63 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $489.78 / $1,380.38
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $630.96 / $630.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $426.58 / $891.25