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Washington, DC 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
$532.75 / $3,575.00 / $4,601.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.52 / $302.86 / $532.75
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.98 / $259.98 / $1,845.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.31 / $480.27 / $1,018.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.08 / $1,177.89 / $1,177.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $442.00 / $5,940.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.60 / $490.37 / $1,361.15