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Virginia 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
$339.23 / $3,633.00 / $8,294.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.05 / $427.89 / $590.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,735.00 / $2,390.00 / $2,954.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.20 / $464.98 / $706.04
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.98 / $259.98 / $2,413.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$509.16 / $509.16 / $509.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.29 / $468.08 / $816.39
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.73 / $586.37 / $698.06
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$285.87 / $451.15 / $653.05
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.00 / $620.00 / $938.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.63 / $379.23 / $1,308.51
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.33 / $603.50 / $1,380.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.00 / $1,045.00 / $2,364.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.23 / $476.93 / $864.43