Intermediate wound repair of neck, hands, feet or genitals, 2.6-7.5 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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HB Repair Intermediate N/H/F/Xtrnl Gent 2.6-7.5 Cm

Payers reporting CPT 12042

Payer pricing summary

Low

$296

Average

$1.1k

Median

$732

High

$8.4k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +42 other terms	665	$413	$848	$1.6k	184%	10–100	$1 – $17.9k
2	Aetna fee schedule · outpatient · +40 other terms	593	$454	$1.1k	$2.0k	180%	5–50	$1 – $21.3k
3	Humana fee schedule · outpatient · +32 other terms	446	$397	$477	$697	146%	5–50	$1 – $12.8k
4	Kaiser fee schedule · outpatient · +26 other terms	107	$525	$658	$673	102%	5–50	$1 – $4.3k
5	Bcbs Al facility · other · outpatient · +5 other terms	6	$508	$431	$179	42%	5–50	$171 – $648
6	Cigna fee schedule · outpatient · +37 other terms	274	$443	$1.1k	$2.1k	191%	4–40	$45 – $15.8k
7	Anthem fee schedule · outpatient · +33 other terms	149	$402	$574	$789	137%	3–30	$33 – $6.3k
8	Blue Cross Blue Shield fee schedule · outpatient · +38 other terms	471	$549	$1.3k	$1.8k	139%	2–20	$0 – $18.0k
9	Medica fee schedule · outpatient · +25 other terms	47	$436	$511	$229	45%	2–20	$76 – $930
10	Molina fee schedule · outpatient · +34 other terms	260	$347	$326	$251	77%	1–10	$1 – $2.2k
11	WellCare fee schedule · outpatient · +27 other terms	213	$426	$475	$463	98%	1–10	$98 – $4.3k
12	Oscar case rate · outpatient · +25 other terms	136	$2.6k	$2.6k	$727	28%	—	$625 – $7.5k
13	Ambetter fee schedule · outpatient · +22 other terms	108	$630	$647	$322	50%	—	$137 – $2.3k
14	MultiPlan fee schedule · outpatient · +22 other terms	104	$667	$681	$229	34%	—	$119 – $1.4k
15	Devoted facility · fee schedule · outpatient · +20 other terms	100	$388	$485	$724	149%	—	$94 – $7.2k
16	Tricare facility · fee schedule · outpatient · +22 other terms	94	$408	$1.1k	$1.7k	160%	—	$86 – $6.7k
17	Aetna Better Health fee schedule · outpatient · +23 other terms	90	$181	$253	$430	170%	—	$104 – $5.7k
18	Caresource fee schedule · outpatient · +20 other terms	84	$394	$659	$606	92%	—	$1 – $4.3k
19	Highmark facility · fee schedule · outpatient · +23 other terms	78	$535	$602	$503	84%	—	$37 – $3.0k
20	Optum fee schedule · outpatient · +28 other terms	76	$366	$368	$229	62%	—	$141 – $1.5k
21	Amerihealth Caritas facility · fee schedule · outpatient · +17 other terms	52	$106	$312	$939	301%	—	$36 – $9.5k
22	Medicaid facility · fee schedule · outpatient · +18 other terms	51	$304	$430	$440	102%	—	$36 – $2.5k
23	First Health fee schedule · outpatient · +23 other terms	47	$425	$977	$1.9k	192%	—	$143 – $7.2k
24	Medicare facility · fee schedule · outpatient · +20 other terms	44	$415	$997	$2.6k	261%	—	$157 – $22k
25	Regence professional · fee schedule · outpatient · +23 other terms	44	$195	$366	$253	69%	—	$77 – $977

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