go back

South 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
$660.69 / $6,025.60 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $489.78 / $707.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $812.83 / $1,380.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $616.60 / $851.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $346.74 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $549.54 / $933.25
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $776.25 / $776.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $588.84 / $870.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $1,230.27 / $3,548.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $501.19 / $851.14