go back

Arizona 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
$1,582.00 / $2,897.00 / $6,483.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.82 / $397.68 / $764.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$552.79 / $2,211.19 / $3,616.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.77 / $307.83 / $477.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.64 / $395.91 / $688.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.58 / $454.29 / $1,689.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.57 / $473.28 / $3,714.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.00 / $1,535.00 / $2,175.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.96 / $456.29 / $612.79