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California 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
$432.07 / $5,382.00 / $16,713.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.81 / $397.68 / $1,570.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,143.00 / $5,863.00 / $11,400.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.87 / $381.74 / $854.19
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $6,881.37
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.71 / $348.15 / $775.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.16 / $464.48 / $909.44
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.94 / $394.69 / $737.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.54 / $527.70 / $940.47
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,058.23 / $2,109.23 / $16,394.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,166.88 / $3,579.28 / $4,233.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.55 / $443.07 / $716.39
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.57 / $492.21 / $967.26
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$974.60 / $974.60 / $1,606.94
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.00 / $380.88 / $683.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.00 / $1,533.00 / $5,830.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.08 / $473.28 / $1,218.76