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.
Original text from hospital filings
Rpr fe/e/en/l/m 12.6-20.0 cm
Fond Du Lac, WI
See all hospitals reporting CPT 12016 →Price type
Agnesian Healthcare Inc.’s median price of $1.9k is 266% above the median hospital's median price ($516), higher than 90% of the 2,109 hospitals reporting CPT 12016. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 3 payers, 6 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Molina medicare managed care plan fee schedule · outpatient | $301.57 | $301.57 | $301.57 – $301.57 |
| 2 | Blue Cross Blue Shield anthem medicare managed care plan fee schedule · outpatient | $402.09 | $402.09 | $402.09 – $402.09 |
| 3 | WellCare medicare managed care plan fee schedule · outpatient | $410.13 | $410.13 | $410.13 – $410.13 |
| 4 | Blue Cross Blue Shield blue preferred / blue preferred plus hmo/pos fee schedule · outpatient | $2,654 | $2,654 | $2,654 – $2,654 |
| 5 | Blue Cross Blue Shield blue access ppo fee schedule · outpatient | $3,335 | $3,335 | $3,335 – $3,335 |
| 6 | Blue Cross Blue Shield blue traditional traditional fee schedule · outpatient | $3,335 | $3,335 | $3,335 – $3,335 |
Last updated: Apr 1, 2026
See Repair of facial, ear, eyelid, nose or lip wound, 12.6-20.0 cm pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.