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Arizona 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
$1,582.00 / $2,933.00 / $6,483.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.31 / $540.38 / $1,007.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.35 / $2,283.06 / $3,616.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.63 / $402.49 / $575.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.76 / $534.92 / $922.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.99 / $563.19 / $1,689.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.99 / $595.54 / $4,470.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$683.00 / $1,234.00 / $2,175.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.72 / $581.12 / $799.05