Simple repair of shallow wound up to 2.5 cm

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

SIMPLE RPR SUPRFCL WND SCLP/NK/AX/GN/TRK/EXT 2.5CM/LS-CAC

Payers reporting CPT 12001

Payer pricing summary

Low

$97

Average

$1.1k

Median

$344

High

$10.1k

Payer rate distribution

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#
1	Bcbs Al facility · other · outpatient · +5 other terms	6	$252	$215	$89	41%	742	$91 – $322
2	Molina fee schedule · outpatient · +35 other terms	220	$205	$239	$259	109%	422–872	$1 – $3.5k
3	UnitedHealthcare fee schedule · outpatient · +42 other terms	580	$238	$579	$1.4k	238%	180–297	$1 – $17.9k
4	Kaiser fee schedule · outpatient · +28 other terms	115	$257	$364	$578	159%	83–101	$30 – $4.7k
5	Blue Cross Blue Shield fee schedule · outpatient · +38 other terms	491	$272	$771	$1.8k	238%	64–199	$0 – $24.3k
6	Humana fee schedule · outpatient · +33 other terms	385	$203	$287	$639	223%	41–140	$1 – $12.8k
7	Anthem fee schedule · outpatient · +33 other terms	151	$200	$328	$680	207%	33–78	$10 – $6.3k
8	WellCare fee schedule · outpatient · +30 other terms	177	$212	$243	$360	148%	22	$40 – $4.3k
9	Cigna fee schedule · outpatient · +39 other terms	280	$222	$878	$2.3k	260%	16–61	$36 – $27.4k
10	Aetna fee schedule · outpatient · +41 other terms	571	$231	$839	$1.9k	230%	14–41	$1 – $21.3k
11	First Health fee schedule · outpatient · +23 other terms	51	$326	$819	$1.7k	213%	14–41	$51 – $7.2k
12	Caresource fee schedule · outpatient · +25 other terms	67	$300	$320	$317	99%	3–30	$1 – $4.3k
13	Regence professional · fee schedule · outpatient · +24 other terms	50	$67	$100	$75	75%	1–10	$16 – $297
14	Ucare professional · fee schedule · outpatient · +23 other terms	36	$30	$37	$19	51%	1–10	$12 – $121
15	Excellus professional · fee schedule · both · +20 other terms	23	$29	$45	$40	89%	1–10	$12 – $242
16	Bcbs Ar fee schedule · inpatient · +1 other terms	1	$212	$212	—	—	1–10	$212 – $212
17	Bcbs Mo professional · other · both · +2 other terms	1	$438	$438	—	—	1–10	$438 – $438
18	Oscar case rate · outpatient · +24 other terms	129	$2.5k	$2.6k	$800	31%	—	$311 – $7.5k
19	MultiPlan fee schedule · outpatient · +23 other terms	124	$396	$433	$393	91%	—	$23 – $4.7k
20	Devoted facility · fee schedule · outpatient · +21 other terms	104	$191	$336	$771	229%	—	$34 – $4.9k
21	Ambetter facility · fee schedule · outpatient · +23 other terms	99	$342	$557	$1.2k	210%	—	$46 – $8.1k
22	Tricare facility · fee schedule · outpatient · +23 other terms	94	$202	$839	$4.1k	486%	—	$31 – $50k
23	Highmark facility · fee schedule · outpatient · +24 other terms	78	$235	$279	$210	75%	—	$26 – $900
24	Optum fee schedule · outpatient · +29 other terms	75	$182	$207	$162	78%	—	$40 – $855
25	Amerihealth Caritas facility · fee schedule · outpatient · +19 other terms	53	$38	$210	$887	423%	—	$25 – $9.5k

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