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Alaska rates for HCPCS 12055

Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,400.91 / $7,340.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.10 / $1,457.06 / $2,363.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.86 / $803.85 / $1,526.64
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,457.06 / $2,083.60 / $3,309.08
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.08 / $882.09 / $1,456.56
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.53 / $1,300.50 / $2,098.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,457.06 / $2,083.60 / $3,309.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.74 / $1,138.80 / $2,088.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.91 / $1,221.32 / $1,842.49