go back

Missouri 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
$523.16 / $3,214.00 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.97 / $515.29 / $1,007.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,958.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.34 / $521.24 / $846.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.49 / $629.22 / $1,088.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.97 / $649.94 / $2,928.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.55 / $772.85 / $4,470.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.00 / $718.00 / $1,667.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.16 / $643.51 / $1,115.05