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Pennsylvania 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
$570.41 / $2,747.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.33 / $495.00 / $725.05
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,299.82 / $2,746.00 / $13,822.74
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591.19 / $613.50 / $613.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.91 / $577.04 / $965.72
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$715.87 / $920.40 / $951.94
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$918.00 / $3,120.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.33 / $569.26 / $2,236.67
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.00 / $573.00 / $604.60
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.21 / $709.21 / $709.21
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.87 / $585.48 / $1,031.49
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.32 / $407.84 / $592.79
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.45 / $525.66 / $635.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.00 / $557.00 / $3,742.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.80 / $626.88 / $1,127.17