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New Jersey 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
$211.28 / $4,370.00 / $9,784.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.53 / $352.97 / $703.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.46 / $429.87 / $862.80
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.65 / $709.83 / $796.92
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$878.95 / $971.34 / $2,106.33
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.20 / $482.29 / $701.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,529.00 / $3,352.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.85 / $477.96 / $959.76