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Louisiana 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
$400.00 / $1,299.00 / $3,685.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.77 / $405.69 / $627.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.95 / $732.76 / $1,401.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.05 / $466.63 / $604.94
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.99 / $490.40 / $817.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.00 / $513.00 / $1,226.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.82 / $471.89 / $721.99