go back

Idaho 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
$1,628.00 / $4,500.00 / $7,205.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.66 / $631.40 / $931.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.07 / $676.31 / $996.02
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$430.67 / $631.40 / $959.97
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.82 / $821.60 / $1,172.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $935.03
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$569.62 / $958.04 / $1,244.19
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.96 / $792.59 / $1,135.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,800.00 / $8,244.00 / $9,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.04 / $762.72 / $1,042.21