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Ohio 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
$427.89 / $2,849.00 / $10,268.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.95 / $427.89 / $733.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$937.00 / $2,012.00 / $3,943.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.51 / $361.80 / $657.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.73 / $421.89 / $421.89
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.61 / $504.35 / $504.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.00 / $455.92 / $802.38
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.56 / $461.12 / $773.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.45 / $472.38 / $712.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.00 / $975.00 / $2,914.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.73 / $502.37 / $832.39