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Maryland 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
Professional
Modifier
Low / Median / High Price
$346.74 / $501.19 / $1,380.38
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $371.54 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $575.44 / $1,047.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $758.58 / $1,230.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $151.36 / $151.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $549.54 / $1,000.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $691.83 / $1,071.52