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Ohio 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 $417 · 10th–90th $89$4,0740%5%10%10th90th$417Professionalmedian $120 · 10th–90th $54$3090%10%20%10th90th$120$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$83.18 / $389.05 / $5,128.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $120.23 / $316.23
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $69.18 / $114.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $2,137.96 / $3,981.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $144.54 / $218.78
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $69.18 / $72.44
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $138.04 / $245.47
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $21,379.62 / $21,379.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $114.82 / $218.78
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $281.84 / $630.96
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $104.71 / $194.98
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $48.98
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $245.47
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $131.83 / $208.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $870.96 / $2,951.21
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $100.00 / $173.78