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Complex Closure After Perianal Skin Removal

Maine rates for HCPCS 11471

Surgical removal of skin and underlying tissue affected by a long-standing inflammatory skin condition that causes recurrent boils, tunnels, and abscesses in skin folds, in this case around the anus, genitals, or navel. This version is distinguished by needing a more complex closure technique, such as a flap or graft reconstruction, to close the wound afterward, rather than by how much tissue is removed. It is done when the condition has not responded well to medication or drainage alone.

Rates data updated July 2026.

How much does Complex Closure After Perianal Skin Removal cost?

$537

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $537 for this service. Most negotiated rates run $417 to $776.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $5,888 · 10th to 90th $5,888 to $5,888Professionalmedian $537 · 10th to 90th $331 to $1,047
$500$1K$2K$5Kfacility $5,888professional $537

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$416.87
Typical High
$562.34
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$575.44
Typical High
$891.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$676.08
Typical High
$1,174.90
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$724.44
Typical High
$1,122.02
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$416.87
Typical High
$1,047.13
United
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$5,888.44
Typical High
$5,888.44
United
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$645.65
Typical High
$1,174.90

Where Maine sits

The same service costs 4.5 times more in Hawaii than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Maine· 35th of 51

$537

HI $1,950DE $437

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.