go back

Rhode Island 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
$2,090.73 / $2,778.87 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.93 / $365.65 / $452.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.33 / $443.91 / $718.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.52 / $608.12 / $1,002.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $1,401.00 / $4,915.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.83 / $625.49 / $1,075.59