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Virginia 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
$477.72 / $3,633.00 / $8,294.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.16 / $517.63 / $686.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,735.00 / $2,390.00 / $2,954.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.90 / $579.24 / $850.70
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.76 / $351.76 / $1,013.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.21 / $709.21 / $709.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.04 / $614.92 / $1,108.43
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$629.55 / $705.58 / $839.98
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$396.45 / $572.82 / $847.91
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.00 / $773.00 / $1,125.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.09 / $535.22 / $1,380.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.79 / $748.73 / $1,446.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.00 / $819.00 / $2,364.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.84 / $619.85 / $1,079.99