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See a sample rate comparisonCPT 11951 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.
Ubcutaneous Injection Of Fill, Ubcutaneous Injection Of Filling Material (Eg Collagen)1.1 To 5.0 Cc Subcutaneous Injection Of Filling Material (Eg Collagen)
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Integumentary System |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service LT - Left side of body RT - Right side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 11951 |
| Medicaid Fee Schedule | View Medicaid rates for 11951 |
National average reimbursement for CPT 11951 by major payers:
$122.94
$134.70
$137.86
$122.03
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CPT 11951
5 of 25 sample ratesHigher to lower in this preview
Mt Laurel Endoscopy Center L P
$1,708.00Published ratePlano Ambulatory Surgery Associates, Lp
$662.00Published rateVivere Health Dallas, LLC, Vivere-Dallas Surgery Center
Vivere Health Dallas LLC
$232.00Published rateMontgomery Surgery Center Limited Partnership
$102.00Published rateDigestive Health Center Of Huntington
Dhch, LLC
$52.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 11951 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 11951 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 11951 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 |
|---|---|---|
| 11900-CPT | Low | Injection Into Skin Growth, Injection Of Medication Directly Into Abnormal Tissue On The Skin. Treatment May Be Applied To Up To Seven Lesions. |
| 11901-CPT | Low | Injection Into Skin Growth, Injection Of Medication Directly Into Abnormal Tissue On The Skin. Treatment May Be Applied To Seven Lesions Or More. |
| 11950-CPT | Low | Subcutaneous Injection Of Fill, Subcutaneous Injection Of Filling Material (Eg Collagen) 1cc Or Less Subcutaneous Injection Of Filling Material (Eg Collagen) 1 |
| 11951-CPT | Low | Ubcutaneous Injection Of Fill, Ubcutaneous Injection Of Filling Material (Eg Collagen)1.1 To 5.0 Cc Subcutaneous Injection Of Filling Material (Eg Collagen) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 11951. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 11951 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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