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Kentucky rates for HCPCS 12011

Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less

Facilitymedian $295 · 10th–90th $66–$1,0720%5%10th90th$295Professionalmedian $93 · 10th–90th $49–$2000%5%10%10th90th$93$50.0$200.0$1.0K$5.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $257.04 / $616.60
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $91.20 / $199.53
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $60.26 / $165.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $10,715.19 / $11,220.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $100.00 / $173.78
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $66.07 / $77.62
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $104.71 / $141.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $95.50 / $104.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $131.83 / $954.99
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $165.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $602.56 / $1,949.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $114.82 / $186.21