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North Carolina 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
$407.13 / $807.48 / $7,278.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.80 / $481.54 / $665.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.66 / $537.61 / $1,120.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.39 / $610.10 / $1,270.69
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.13 / $599.82 / $861.56
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.00 / $600.00 / $665.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.00 / $833.00 / $1,928.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.95 / $581.91 / $1,301.52
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,876.40 / $2,876.40 / $16,394.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,025.68 / $4,321.20 / $5,113.35