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Alaska rates for HCPCS 12057

Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $7,079.46 / $14,125.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $602.56 / $2,041.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $1,905.46
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $588.84 / $2,884.03
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,412.54 / $2,041.74
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,698.24 / $2,511.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $630.96 / $2,884.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $794.33 / $1,905.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $1,122.02 / $1,698.24