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Arkansas 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
$333.29 / $1,074.00 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.52 / $399.96 / $496.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.42 / $379.42 / $455.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.52 / $441.95 / $660.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.94 / $317.94 / $317.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.17 / $470.77 / $747.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.00 / $337.00 / $858.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.06 / $502.37 / $890.82