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See a sample rate comparisonCPT 11450 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Xcision Of Skin & Subcutane Tissue For Hidradenitis Axillary;, Excision Of Skin And Subcutaneous Tissue For Hidradenitis Axillary; W
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Integumentary System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 11450 |
| Medicaid Fee Schedule | View Medicaid rates for 11450 |
National average reimbursement for CPT 11450 by major payers:
$470.79
$490.21
$539.69
$420.39
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CPT 11450
5 of 25 sample ratesHigher to lower in this preview
Alpine Surgicenter, LLC
$7,011.00Published rateGastroenterology Associates, LLC, Gastroenterology Associates Endoscopy Center
Gastroenterology Associates PLLC
$2,353.00Published rateMountain View Endoscopy Center Lp
Mountain View Endoscopy Center,
$1,980.00Published rateMt Laurel Endoscopy Center L P
$1,469.00Published rateAmbulatory Care Center PA
$647.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 11450 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 11450 code is part of the Surgery services used for Surgical Procedures on the Integumentary System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 11450 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 11450-CPT | Moderate | Xcision Of Skin & Subcutane Tissue For Hidradenitis Axillary;, Excision Of Skin And Subcutaneous Tissue For Hidradenitis Axillary; W |
| 11451-CPT | Moderate | Xcision Of Skin & Subcutane Tissue For Hidradenitis Axillary;, Excision Of Skin And Subcutaneous Tissue For Hidradenitis Axillary; W |
| 11462-CPT | Moderate | Exc Skn Hdrdnt Ing Smpl Ntrm, Excision Of Skin And Subcutaneous Tissue For Hidradenitis Inguinal With Simple Or Intermediate Repair |
| 11463-CPT | Moderate | Xcision Of Skin & Subcutane Tissue For Hidradenitis Inguinal;, Excision Of Skin And Subcutaneous Tissue For Hidradenitis Inguinal; W |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 11450. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 11450 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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