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Kansas 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
$1,700.00 / $4,387.00 / $10,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.97 / $523.16 / $823.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.00 / $1,727.10 / $2,429.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.89 / $564.58 / $824.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.00 / $442.00 / $442.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.22 / $678.61 / $934.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.74 / $591.88 / $2,819.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.50 / $709.99 / $4,470.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$403.00 / $679.20 / $1,907.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.64 / $635.36 / $1,032.02