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
Maple Grove, MN
See all hospitals reporting CPT 12016 →Price type
Fairview Maple Grove Surgery Center’s median price of $254 is 51% below the median hospital's median price ($516), higher than 9% 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: 6 payers, 41 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 | Medicaid medicaid fee schedule · both | $80.54 | $80.54 | $80.54 – $80.54 |
| 2 | Ucare mhcp fee schedule · both | $82.08 | $82.08 | $82.08 – $82.08 |
| 3 | Medica accessability fee schedule · both | $86.80 | $86.80 | $86.80 – $86.80 |
| 4 | Medica medicaid fee schedule · both | $86.80 | $86.80 | $86.80 – $86.80 |
| 5 | Blue Cross Blue Shield medicaid fee schedule · both | $92.88 | $92.88 | $92.88 – $92.88 |
| 6 | UnitedHealthcare medicare advantage fee schedule · both | $109.48 | $109.48 | $109.48 – $109.48 |
| 7 | Blue Cross Blue Shield medicare advantage fee schedule · both | $113.86 | $113.86 | $113.86 – $113.86 |
| 8 | Medica ma non-snp fee schedule · both | $117.56 | $117.56 | $117.56 – $117.56 |
| 9 | Medica ma snp fee schedule · both | $117.56 | $117.56 | $117.56 – $117.56 |
| 10 | Medica prime solution fee schedule · both | $117.56 | $117.56 | $117.56 – $117.56 |
| 11 | Medica vantage fee schedule · both | $117.56 | $117.56 | $117.56 – $117.56 |
| 12 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $150.97 | $150.97 | $150.97 – $150.97 |
| 13 | UnitedHealthcare medicare advantage fee schedule · outpatient | $216.90 | $216.90 | $216.90 – $216.90 |
| 14 | Medicaid medicaid fee schedule · outpatient | $218.48 | $218.48 | $218.48 – $218.48 |
| 15 | Medica accessability fee schedule · outpatient | $220.00 | $220.00 | $220.00 – $220.00 |
| 16 | Blue Cross Blue Shield medicare advantage fee schedule · outpatient | $225.58 | $225.58 | $225.58 – $225.58 |
| 17 | Blue Cross Blue Shield federal fee schedule · outpatient | $249.17 | $249.17 | $249.17 – $249.17 |
| 18 | Blue Cross Blue Shield commercial fee schedule · outpatient | $253.66 | $253.66 | $253.66 – $253.66 |
| 19 | Ucare mhcp fee schedule · outpatient | $254.04 | $254.04 | $254.04 – $254.04 |
| 20 | Medica medicaid fee schedule · outpatient | $256.00 | $256.00 | $256.00 – $256.00 |
| 21 | Ucare ifp with fairview fee schedule · both | $288.92 | $288.92 | $288.92 – $288.92 |
| 22 | Ucare ifp fee schedule · both | $304.35 | $304.35 | $304.35 – $304.35 |
| 23 | Medica ma snp fee schedule · outpatient | $341.00 | $341.00 | $341.00 – $341.00 |
| 24 | Medica bold fee schedule · both | $348.24 | $348.24 | $348.24 – $348.24 |
| 25 | Ucare ifp with fairview fee schedule · outpatient | $373.94 | $373.94 | $373.94 – $373.94 |
Last updated: May 18, 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.