Simple repair of facial 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

PR SIMPLE REPAIR F/E/E/N/L/M 2.5CM/<

Payers reporting CPT 12011

69 payers file a negotiated rate for this code. Each is shown once, under the terms the most hospitals file it under; rates under different terms (billing class, payment method, setting) are never blended, so open a payer to see them all. Figures are hospital-level averages; the median is across hospitals.

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1	UnitedHealthcare fee schedule · outpatient · +42 other terms	547	$224.00	$583.40	$1.00 – $17,881
2	Aetna fee schedule · outpatient · +40 other terms	519	$222.93	$1,013	$1.05 – $33,603
3	Blue Cross Blue Shield fee schedule · outpatient · +38 other terms	461	$276.67	$728.45	$0.01 – $16,400
4	Humana fee schedule · outpatient · +32 other terms	371	$202.62	$309.88	$1.00 – $12,772
5	Cigna case rate · outpatient · +38 other terms	261	$1,773	$4,603	$0.40 – $40,673
6	Molina fee schedule · outpatient · +35 other terms	196	$206.71	$235.28	$1.00 – $1,562
7	WellCare fee schedule · outpatient · +28 other terms	169	$211.63	$267.61	$49.48 – $4,266
8	Anthem fee schedule · outpatient · +34 other terms	138	$219.60	$342.44	$38.27 – $6,285
9	Oscar case rate · outpatient · +24 other terms	129	$2,516	$2,574	$310.69 – $7,454
10	Kaiser fee schedule · outpatient · +29 other terms	108	$261.11	$375.63	$1.30 – $4,266
11	MultiPlan fee schedule · outpatient · +23 other terms	105	$392.49	$416.11	$1.00 – $1,202
12	Devoted facility · fee schedule · outpatient · +22 other terms	98	$189.82	$307.76	$42.55 – $4,876
13	Ambetter facility · fee schedule · outpatient · +23 other terms	97	$342.08	$533.30	$56.24 – $8,142
14	Tricare facility · fee schedule · outpatient · +22 other terms	89	$201.55	$537.22	$39.25 – $6,106
15	Optum fee schedule · outpatient · +28 other terms	71	$182.44	$235.62	$49.48 – $922.04
16	Caresource fee schedule · outpatient · +24 other terms	63	$294.76	$323.25	$1.08 – $4,266
17	Highmark facility · fee schedule · outpatient · +25 other terms	63	$249.21	$275.34	$33.08 – $895.57
18	Medica fee schedule · both · +26 other terms	52	$111.92	$118.57	$21.45 – $224.18
19	Regence professional · fee schedule · outpatient · +24 other terms	48	$81.03	$121.05	$20.32 – $354.73
20	Amerihealth Caritas facility · fee schedule · outpatient · +17 other terms	47	$116.99	$270.78	$31.50 – $9,463
21	Wellmark fee schedule · both · +28 other terms	44	$121.10	$104.00	$50.21 – $188.82
22	Medicare facility · fee schedule · outpatient · +23 other terms	43	$206.17	$800.05	$50.72 – $22,000
23	Healthpartners fee schedule · both · +17 other terms	42	$118.42	$140.74	$118.42 – $518.88
24	Healthcare Highways case rate · outpatient · +4 other terms	39	$5,841	$6,912	$2,069 – $14,612
25	Superior Healthplan case rate · outpatient · +7 other terms	38	$948.00	$923.58	$298.53 – $948.00

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