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New York 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 $3,162 · 10th–90th $240–$7,4130%5%10th90th$3,162$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
$199.53 / $3,019.95 / $7,762.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $3,630.78 / $5,011.87
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $1,698.24 / $6,165.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $3,235.94 / $53,703.18
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $208.93 / $478.63
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,071.52 / $2,398.83 / $4,897.79
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102.33 / $134.90 / $794.33