Intermediate wound repair, scalp or body, 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

HB Intmd Rpr S/a/T/Ext 2.5 Cm/<

Payers reporting CPT 12031

Payer pricing summary

Low

$268

Average

$943

Median

$614

High

$5.0k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +42 other terms	674	$420	$827	$1.9k	228%	71–161	$1 – $28.5k
2	Blue Cross Blue Shield fee schedule · outpatient · +38 other terms	491	$513	$1.3k	$1.8k	143%	33–123	$0 – $18.0k
3	Humana fee schedule · outpatient · +33 other terms	453	$395	$464	$700	151%	30–93	$1 – $12.8k
4	Aetna fee schedule · outpatient · +41 other terms	613	$442	$1.1k	$2.0k	182%	8–80	$1 – $21.3k
5	Molina fee schedule · outpatient · +34 other terms	264	$323	$321	$299	93%	5–50	$1 – $3.5k
6	Bcbs Al facility · other · outpatient · +5 other terms	6	$508	$436	$173	40%	4–40	$198 – $648
7	Cigna fee schedule · outpatient · +38 other terms	292	$447	$1.1k	$1.9k	180%	2–20	$1 – $16.8k
8	Kaiser fee schedule · outpatient · +25 other terms	112	$516	$647	$672	104%	2–20	$15 – $4.3k
9	Medica fee schedule · outpatient · +26 other terms	48	$409	$435	$185	42%	2–20	$65 – $899
10	Anthem fee schedule · outpatient · +34 other terms	152	$397	$522	$814	156%	1–10	$27 – $7.0k
11	Optum fee schedule · outpatient · +29 other terms	78	$367	$586	$692	118%	1–10	$121 – $3.5k
12	Medicaid facility · fee schedule · outpatient · +17 other terms	50	$283	$397	$332	84%	1–10	$25 – $1.4k
13	Ucare professional · fee schedule · outpatient · +22 other terms	30	$92	$93	$36	39%	1–10	$12 – $227
14	Bcbs In other · outpatient	7	$1.5k	$2.8k	$3.1k	113%	1–10	$987 – $10.4k
15	WellCare fee schedule · outpatient · +26 other terms	216	$426	$461	$440	95%	—	$65 – $4.3k
16	Oscar case rate · outpatient · +24 other terms	136	$2.6k	$2.6k	$704	27%	—	$625 – $7.5k
17	MultiPlan fee schedule · outpatient · +24 other terms	122	$639	$675	$377	56%	—	$93 – $3.2k
18	Ambetter facility · fee schedule · outpatient · +22 other terms	109	$720	$772	$867	112%	—	$141 – $8.2k
19	Devoted facility · fee schedule · outpatient · +20 other terms	99	$385	$455	$553	121%	—	$73 – $4.9k
20	Aetna Better Health fee schedule · outpatient · +25 other terms	89	$181	$219	$147	67%	—	$83 – $1.4k
21	Tricare facility · fee schedule · outpatient · +22 other terms	88	$410	$1.2k	$1.9k	156%	—	$67 – $7.6k
22	Caresource fee schedule · outpatient · +22 other terms	85	$418	$471	$558	119%	—	$1 – $4.3k
23	Highmark facility · fee schedule · outpatient · +21 other terms	81	$464	$464	$392	84%	—	$3 – $1.8k
24	First Health fee schedule · outpatient · +23 other terms	56	$425	$1.1k	$1.8k	167%	—	$115 – $7.2k
25	Amerihealth Caritas facility · fee schedule · outpatient · +16 other terms	52	$38	$285	$908	319%	—	$25 – $9.5k

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