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Massachusetts rates for HCPCS 12016

Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm

Facilitymedian $1,995 · 10th–90th $141–$3,7150%5%10%10th90th$1,995$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $2,818.38 / $5,128.61
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $1,122.02 / $28,840.32
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $141.25 / $331.13
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $173.78 / $3,630.78
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $2,041.74 / $3,467.37
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $1,122.02 / $28,840.32
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $1,698.24 / $2,818.38