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Minnesota 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
$283.69 / $500.77 / $2,525.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.69 / $456.12 / $764.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.83 / $812.93 / $1,417.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.87 / $905.09 / $1,681.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,247.09 / $1,768.96 / $4,255.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.75 / $1,078.65 / $2,106.73
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$982.20 / $1,617.25 / $3,350.76
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.38 / $1,067.97 / $1,985.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.46 / $593.49 / $1,263.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.61 / $961.15 / $2,221.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.00 / $1,749.00 / $2,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.50 / $823.24 / $1,811.54