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Illinois 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
$660.69 / $1,862.09 / $5,888.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $549.54 / $1,096.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $707.95 / $7,943.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $707.95 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $676.08 / $1,096.48
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $831.76 / $2,089.30
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $537.03 / $831.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $758.58 / $2,187.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $602.56 / $1,122.02