Nail debridement, 1 to 5 nails

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PC DEBRIDEMENT OF NAILS 1 - 5 NAILS

Payers reporting CPT 11720

Payer pricing summary

Low

$28

Average

$866

Median

$185

High

$12.6k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +41 other terms	532	$71	$624	$1.5k	233%	99–135	$1 – $17.9k
2	Humana fee schedule · outpatient · +32 other terms	362	$61	$178	$729	409%	49	$1 – $12.8k
3	Kaiser fee schedule · outpatient · +26 other terms	105	$84	$184	$577	314%	15	$4 – $4.2k
4	Ucare professional · fee schedule · outpatient · +19 other terms	17	$28	$33	$27	81%	13–22	$10 – $199
5	Molina fee schedule · outpatient · +35 other terms	193	$61	$68	$53	77%	4–40	$1 – $521
6	Blue Cross Blue Shield fee schedule · outpatient · +37 other terms	442	$99	$511	$1.5k	300%	1–10	$1 – $15.6k
7	Aetna fee schedule · outpatient · +40 other terms	542	$69	$726	$1.9k	267%	—	$1 – $21.3k
8	Cigna fee schedule · outpatient · +36 other terms	271	$81	$806	$1.8k	224%	—	$1 – $11.1k
9	WellCare fee schedule · outpatient · +24 other terms	162	$62	$123	$482	392%	—	$11 – $4.2k
10	Anthem fee schedule · outpatient · +32 other terms	145	$60	$161	$649	404%	—	$5 – $6.3k
11	Oscar case rate · outpatient · +23 other terms	119	$2.7k	$3.6k	$1.8k	50%	—	$93 – $7.5k
12	MultiPlan fee schedule · outpatient · +23 other terms	112	$103	$135	$115	85%	—	$13 – $511
13	Ambetter facility · fee schedule · outpatient · +21 other terms	78	$104	$341	$1.2k	362%	—	$16 – $8.1k
14	Devoted facility · fee schedule · outpatient · +19 other terms	73	$57	$218	$814	373%	—	$11 – $4.9k
15	Highmark facility · fee schedule · outpatient · +23 other terms	68	$84	$93	$70	75%	—	$11 – $322
16	Tricare fee schedule · outpatient · +21 other terms	67	$63	$300	$1.1k	358%	—	$12 – $5.0k
17	Optum fee schedule · outpatient · +27 other terms	64	$54	$51	$39	76%	—	$13 – $218
18	Caresource fee schedule · outpatient · +20 other terms	54	$83	$472	$472	100%	—	$1 – $4.2k
19	Amerihealth Caritas facility · fee schedule · outpatient · +16 other terms	51	$24	$183	$1.0k	567%	—	$17 – $9.4k
20	First Health fee schedule · outpatient · +23 other terms	43	$70	$808	$2.1k	260%	—	$15 – $7.2k
21	Medica fee schedule · outpatient · +23 other terms	41	$63	$88	$131	148%	—	$8 – $731
22	Healthcare Highways case rate · outpatient · +4 other terms	39	$5.8k	$6.9k	$5.1k	73%	—	$2.1k – $14.6k
23	Superior Healthplan case rate · outpatient · +6 other terms	38	$948	$917	$148	16%	—	$89 – $948
24	Medicare facility · fee schedule · outpatient · +19 other terms	36	$61	$732	$2.7k	373%	—	$14 – $22k
25	Aetna Better Health facility · fee schedule · outpatient · +20 other terms	32	$30	$67	$187	280%	—	$11 – $1.0k

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