go back

New Jersey 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 $1,585 · 10th–90th $234–$6,9180%5%10th90th$1,585Professionalmedian $120 · 10th–90th $52–$3470%5%10th90th$120$50.0$200.0$1.0K$5.0K$20.0K

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
$234.42 / $1,548.82 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $120.23 / $363.08
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $117.49 / $117.49
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,778.28 / $2,884.03 / $3,019.95
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $117.49 / $251.19
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $165.96 / $229.09
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $645.65 / $1,000.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $109.65 / $199.53
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $2,630.27 / $6,606.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $77.62 / $190.55