Repair of facial, ear, eyelid, nose or lip wound, 12.6-20.0 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 RESUPERF WND FACE 12.6-20 CM

Payers reporting CPT 12016

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 · +38 other terms	602	$415.29	$795.33	$1.00 – $17,881
2	Aetna fee schedule · outpatient · +38 other terms	551	$454.23	$1,220	$1.05 – $26,648
3	Blue Cross Blue Shield fee schedule · outpatient · +37 other terms	444	$551.57	$1,157	$0.01 – $22,145
4	Humana fee schedule · outpatient · +31 other terms	413	$397.62	$557.58	$1.00 – $12,772
5	Cigna case rate · outpatient · +33 other terms	306	$3,667	$5,124	$0.62 – $40,673
6	Molina fee schedule · outpatient · +31 other terms	248	$306.43	$311.43	$1.00 – $1,859
7	WellCare fee schedule · outpatient · +23 other terms	181	$419.21	$486.42	$69.85 – $4,293
8	Anthem fee schedule · outpatient · +29 other terms	143	$421.64	$611.44	$68.51 – $7,012
9	Oscar case rate · outpatient · +22 other terms	136	$2,636	$2,696	$624.72 – $7,454
10	Kaiser fee schedule · outpatient · +23 other terms	106	$516.33	$687.16	$1.15 – $4,293
11	MultiPlan fee schedule · outpatient · +24 other terms	101	$664.83	$909.61	$92.96 – $7,309
12	Ambetter fee schedule · outpatient · +19 other terms	100	$705.72	$688.88	$50.00 – $2,277
13	Aetna Better Health fee schedule · outpatient · +22 other terms	79	$180.62	$209.12	$100.62 – $1,404
14	Devoted facility · fee schedule · outpatient · +15 other terms	75	$387.06	$469.46	$101.17 – $4,904
15	Caresource fee schedule · outpatient · +16 other terms	69	$403.82	$500.40	$1.08 – $4,293
16	Optum fee schedule · outpatient · +24 other terms	65	$368.82	$568.78	$119.41 – $2,112
17	Tricare fee schedule · outpatient · +20 other terms	65	$405.74	$672.24	$113.84 – $5,077
18	Highmark facility · fee schedule · outpatient · +16 other terms	59	$679.69	$1,027	$96.60 – $5,023
19	Amerihealth Caritas facility · fee schedule · outpatient · +11 other terms	46	$245.65	$432.42	$92.00 – $9,520
20	First Health fee schedule · outpatient · +23 other terms	46	$424.52	$1,157	$138.83 – $7,569
21	Medica fee schedule · outpatient · +25 other terms	43	$402.07	$406.76	$95.00 – $1,276
22	Healthcare Highways case rate · outpatient · +4 other terms	39	$5,841	$6,621	$2,069 – $14,612
23	Superior Healthplan case rate · outpatient · +5 other terms	38	$948.00	$938.39	$600.27 – $948.00
24	Cigna Healthspring fee schedule · outpatient · +9 other terms	34	$393.56	$314.37	$150.23 – $433.49
25	Clover fee schedule · outpatient · +11 other terms	34	$446.08	$907.82	$366.92 – $4,376

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