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New Hampshire 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
$531.85 / $1,484.32 / $2,341.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.93 / $365.65 / $493.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,223.09 / $1,359.00 / $3,300.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.02 / $527.28 / $935.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,751.69 / $1,751.69 / $1,812.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.89 / $708.22 / $1,460.71
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.52 / $818.31 / $1,531.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,448.00 / $7,448.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.23 / $746.74 / $1,729.87
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.46 / $368.21 / $544.38