Repair of simple wound, 2.6 to 7.5 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

HC RESUP NPTERF WND BODY 2.6-7.5 CM

Payers reporting CPT 12002

Payer pricing summary

Low

$111

Average

$1.0k

Median

$370

High

$10.1k

Payer rate distribution

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#
1	Bcbs Al facility · other · outpatient · +6 other terms	6	$252	$213	$91	43%	465	$79 – $322
2	Molina fee schedule · outpatient · +35 other terms	217	$207	$224	$172	77%	106–394	$1 – $1.6k
3	UnitedHealthcare fee schedule · outpatient · +42 other terms	587	$243	$564	$1.1k	203%	103–202	$1 – $17.9k
4	Humana fee schedule · outpatient · +34 other terms	395	$203	$305	$670	220%	40–148	$1 – $12.8k
5	Blue Cross Blue Shield fee schedule · outpatient · +38 other terms	492	$279	$728	$1.6k	218%	38–137	$0 – $16.4k
6	Kaiser fee schedule · outpatient · +29 other terms	107	$265	$375	$567	151%	31–94	$17 – $4.3k
7	Anthem fee schedule · outpatient · +34 other terms	149	$204	$349	$677	194%	21–84	$13 – $6.3k
8	Aetna fee schedule · outpatient · +41 other terms	557	$224	$942	$2.8k	301%	6–60	$1 – $33.6k
9	Cigna fee schedule · outpatient · +38 other terms	280	$218	$780	$1.6k	209%	5–50	$1 – $11.1k
10	First Health fee schedule · outpatient · +22 other terms	37	$210	$399	$417	104%	3–30	$67 – $1.9k
11	WellCare fee schedule · outpatient · +27 other terms	182	$212	$252	$391	155%	2–20	$52 – $4.3k
12	Caresource fee schedule · outpatient · +24 other terms	66	$307	$336	$354	106%	1–10	$1 – $4.3k
13	Regence professional · fee schedule · outpatient · +24 other terms	52	$84	$121	$91	75%	1–10	$21 – $359
14	Aetna Better Health fee schedule · outpatient · +25 other terms	44	$172	$176	$122	69%	1–10	$46 – $720
15	Premera professional · fee schedule · outpatient · +19 other terms	23	$52	$62	$26	42%	1–10	$29 – $130
16	Bcbs Ar fee schedule · both · +2 other terms	1	$212	$212	—	—	1–10	$212 – $212
17	Oscar case rate · outpatient · +24 other terms	129	$2.5k	$2.6k	$805	31%	—	$311 – $7.5k
18	MultiPlan fee schedule · outpatient · +23 other terms	114	$383	$478	$460	96%	—	$43 – $2.8k
19	Devoted facility · fee schedule · outpatient · +20 other terms	103	$192	$422	$941	223%	—	$45 – $4.9k
20	Ambetter facility · fee schedule · outpatient · +23 other terms	97	$342	$694	$1.4k	203%	—	$59 – $8.1k
21	Tricare facility · fee schedule · outpatient · +23 other terms	92	$202	$884	$4.2k	474%	—	$41 – $50k
22	Optum fee schedule · outpatient · +28 other terms	77	$182	$236	$211	89%	—	$52 – $1.1k
23	Highmark facility · fee schedule · outpatient · +25 other terms	72	$255	$308	$280	91%	—	$37 – $2.0k
24	Amerihealth Caritas facility · fee schedule · outpatient · +18 other terms	53	$55	$241	$964	400%	—	$36 – $9.5k
25	Medica fee schedule · both · +27 other terms	53	$118	$128	$56	43%	—	$23 – $224

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