go back

Tennessee 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
$606.00 / $2,303.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.51 / $392.68 / $588.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$764.00 / $1,504.00 / $2,257.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.89 / $442.76 / $703.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.20 / $515.82 / $937.52
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,058.23 / $2,109.23 / $16,394.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,166.88 / $3,579.28 / $4,233.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.00 / $794.00 / $2,577.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.94 / $524.41 / $1,007.94