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Texas 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
$456.54 / $2,496.00 / $7,316.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.81 / $392.18 / $592.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.45 / $511.22 / $1,140.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.17 / $463.45 / $652.29
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.80 / $286.80 / $526.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.33 / $490.54 / $749.02
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,058.23 / $16,394.00 / $16,394.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,166.88 / $3,579.28 / $4,233.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.58 / $436.21 / $667.38
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.54 / $588.05 / $903.07
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.92 / $491.80 / $670.63
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.58 / $436.62 / $669.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.64 / $504.97 / $838.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.00 / $952.00 / $2,405.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.79 / $501.63 / $712.16
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.38 / $466.53 / $653.14