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Oklahoma 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
$505.09 / $2,923.00 / $8,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.82 / $397.68 / $505.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,489.71 / $2,349.69 / $3,739.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.29 / $598.77 / $657.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.48 / $423.29 / $698.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.37 / $505.09 / $1,883.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.88 / $502.37 / $3,714.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $610.00 / $1,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.78 / $477.25 / $728.14