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Complex Repair After Underarm Sweat Gland Excision

New York rates for HCPCS 11451

This procedure removes affected skin and underlying tissue from the armpit in a person with hidradenitis suppurativa, a chronic condition causing painful lumps and tunnels in sweat-gland-bearing skin, and then closes the wound using a complex repair technique. A complex closure is used when the wound is large, irregular, or otherwise cannot be closed with a simple stitched line, often requiring rearrangement of nearby tissue. It addresses more extensive disease than a basic excision and closure would.

Facilitymedian $4,266 · 10th–90th $513$9,7720%5%10%10th90th$4,266Professionalmedian $457 · 10th–90th $282$1,1480%10%10th90th$457$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$3,162.28
Typical High
$8,912.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$457.09
Typical High
$1,148.15
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$5,495.41
Typical High
$12,882.50
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$478.63
Typical High
$1,148.15
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$1,698.24
Typical High
$6,165.95
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$741.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$3,235.94
Typical High
$53,703.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$602.56
Typical High
$1,258.93
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$389.05
Typical High
$933.25
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$812.83
Typical High
$1,202.26
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$562.34
Typical High
$954.99
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$602.56
Typical High
$776.25
United
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$3,981.07
Typical High
$8,709.64
United
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$489.78
Typical High
$1,148.15
Univera
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$354.81
Typical High
$954.99
Univera
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$602.56
Typical High
$1,096.48