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Minnesota 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
$398.11 / $602.56 / $602.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $524.81 / $1,047.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,445.44 / $3,388.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,122.02 / $1,949.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $2,238.72 / $5,370.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,479.11 / $2,570.40
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $2,137.96 / $4,168.69
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,348.96 / $2,398.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $776.25 / $1,445.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $1,071.52 / $3,090.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,862.09 / $3,388.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $912.01 / $1,862.09