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North Dakota 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
$297.85 / $487.68 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.02 / $397.68 / $500.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.69 / $773.52 / $1,161.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.67 / $908.25 / $1,548.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.85 / $487.68 / $893.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.37 / $871.18 / $3,714.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.44 / $740.35 / $1,052.56