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Kansas 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
$1,700.00 / $4,387.00 / $10,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.02 / $435.24 / $685.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$578.00 / $1,201.36 / $1,431.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.50 / $550.00 / $871.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.00 / $442.00 / $442.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.06 / $501.82 / $764.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.73 / $476.00 / $2,109.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.73 / $554.40 / $3,714.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.00 / $550.00 / $1,769.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.78 / $508.64 / $718.36