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
Macon, GA
See all hospitals reporting CPT 12016 →Price type
Central Georgia Rehabilitation LLC’s median price of $400 is 23% below the median hospital's median price ($516), higher than 25% 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: 9 payers, 29 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 | Aetna medicare advantage fee schedule · both | $123.27 | $123.27 | $123.27 – $123.27 |
| 2 | Anthem medicare advantage fee schedule · both | $123.27 | $123.27 | $123.27 – $123.27 |
| 3 | Humana medicare advantage fee schedule · both | $123.27 | $123.27 | $123.27 – $123.27 |
| 4 | UnitedHealthcare medicare advantage fee schedule · both | $123.27 | $123.27 | $123.27 – $123.27 |
| 5 | Caresource medicare advantage fee schedule · both | $125.74 | $125.74 | $125.74 – $125.74 |
| 6 | Clover medicare advantage fee schedule · both | $125.74 | $125.74 | $125.74 – $125.74 |
| 7 | Ambetter managed medicaid fee schedule · both | $166.41 | $166.41 | $166.41 – $166.41 |
| 8 | Cigna commercial fee schedule · both | $377.37 | $377.37 | $377.37 – $377.37 |
| 9 | Aetna hmo fee schedule · both | $390.95 | $390.95 | $390.95 – $390.95 |
| 10 | Aetna pos fee schedule · both | $390.95 | $390.95 | $390.95 – $390.95 |
| 11 | Aetna medicare advantage fee schedule · outpatient | $399.53 | $399.53 | $399.53 – $399.53 |
| 12 | Anthem medicare advantage fee schedule · outpatient | $399.53 | $399.53 | $399.53 – $399.53 |
| 13 | Humana medicare advantage fee schedule · outpatient | $399.53 | $399.53 | $399.53 – $399.53 |
| 14 | UnitedHealthcare medicare advantage fee schedule · outpatient | $399.53 | $399.53 | $399.53 – $399.53 |
| 15 | Aetna ppo fee schedule · both | $407.38 | $407.38 | $407.38 – $407.38 |
| 16 | Caresource medicare advantage fee schedule · outpatient | $407.52 | $407.52 | $407.52 – $407.52 |
| 17 | Clover medicare advantage fee schedule · outpatient | $407.52 | $407.52 | $407.52 – $407.52 |
| 18 | Humana hmo/pos fee schedule · both | $459.97 | $459.97 | $459.97 – $459.97 |
| 19 | Humana ppo fee schedule · both | $459.97 | $459.97 | $459.97 – $459.97 |
| 20 | UnitedHealthcare commercial fee schedule · both | $501.60 | $501.60 | $501.60 – $501.60 |
| 21 | Kaiser commercial fee schedule · both | $505.29 | $505.29 | $505.29 – $505.29 |
| 22 | Aetna hmo case rate · outpatient | $1,456 | $1,456 | $1,456 – $1,456 |
| 23 | Aetna pos case rate · outpatient | $1,684 | $1,684 | $1,684 – $1,684 |
| 24 | Kaiser commercial case rate · outpatient | $1,777 | $1,777 | $1,777 – $1,777 |
| 25 | Aetna ppo case rate · outpatient | $1,889 | $1,889 | $1,889 – $1,889 |
Last updated: Nov 19, 2025
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.