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North Dakota 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
$423.66 / $607.36 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.39 / $523.16 / $607.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$835.06 / $1,077.10 / $1,402.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.79 / $1,152.11 / $1,859.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$423.66 / $607.36 / $1,270.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.86 / $1,002.29 / $4,470.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,783.00 / $1,783.00 / $1,783.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.15 / $952.72 / $1,310.87