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Delaware 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
$3,949.00 / $3,949.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.92 / $364.92 / $545.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.67 / $583.51 / $714.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $500.00 / $500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.77 / $604.91 / $1,722.10