go back

Massachusetts 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
$446.68 / $2,818.38 / $5,128.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $524.81 / $1,380.38
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $1,412.54 / $28,840.32
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $707.95 / $1,778.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $489.78 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $831.76 / $1,584.89
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $831.76 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $870.96 / $1,258.93
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $2,041.74 / $3,467.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $776.25 / $1,621.81
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $1,412.54 / $28,840.32
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $707.95 / $1,819.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $1,819.70 / $2,818.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $758.58 / $1,479.11