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Wyoming 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
Professional
Modifier
Low / Median / High Price
$428.20 / $428.20 / $618.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.00 / $925.00 / $1,283.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.60 / $692.60 / $1,044.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.00 / $293.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.78 / $1,007.47 / $1,551.01