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Wyoming 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
$223.51 / $311.66 / $390.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.00 / $557.00 / $810.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.30 / $415.71 / $656.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.00 / $293.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.47 / $643.20 / $1,160.64