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See a sample rate comparisonCPT 12007 Fee Schedule
Medicare rates as of October 2026
CPT 12007 is classified under Surgery, in the Surgical Procedures on the Integumentary System subgroup.
Rpr S N Ax Gen Trnk 30 0 Cm, Simple Repair Of Superficial Wounds Of Scalp Neck Axillae External Genitalia Trunk And Or Extremities Including Hands And Feet Over 30 0 Cm
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Integumentary System |
| Common Place of Service | 23 - Emergency Room 21 - Inpatient Hospital |
| Common Modifiers | 59 - Distinct Procedural Service AG - Primary physician |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $255.85 national non-facility rate (2026) · View Medicare rates for 12007 |
| Medicaid Fee Schedule | $195.745 median of the 8 states in the free preview · View Medicaid rates for 12007 |
National average reimbursement for CPT 12007 by major payers:
$294.28
BCBS / Anthem
$321.13
UnitedHealthcare
$316.32
Aetna
$390.17
Cigna
Compare published rates across providers.
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CPT 12007
5 of 25 sample ratesHigher to lower in this preview
New Jersey Surgery Center LLC, New Jersey Surgery Center
New Jersey Surgery Center LLC
$1,413.00Published rateMedstar Health Endoscopy Center
$586.00Published rateFranciscan Lakeshore Asc, LLC
$400.00Published rateNovamed Management Services LLC, Atlanta Eye Surgery Center
Novamed, Inc.
$170.00Published rateCoastal Digestive Care Center LLC
$75.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 12007 vs. Other Surgical Procedures on the Integumentary System Codes
The table lists codes related to 12007. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 12005-CPT | Moderate | Rpr S N A Gen Trk12 6 20 0cm, Simple Repair Of Superficial Wounds Of Scalp Neck Axillae External Genitalia Trunk And Or Extremities Including Hands And Feet 12 6 Cm To 20 0 Cm |
| 12006-CPT | Moderate | Rpr S N A Gen Trk20 1 30 0cm, Simple Repair Of Superficial Wounds Of Scalp Neck Axillae External Genitalia Trunk And Or Extremities Including Hands And Feet 20 1 Cm To 30 0 Cm |
| 12007-CPT | Moderate | Rpr S N Ax Gen Trnk 30 0 Cm, Simple Repair Of Superficial Wounds Of Scalp Neck Axillae External Genitalia Trunk And Or Extremities Including Hands And Feet Over 30 0 Cm |
| 12020-CPT | Moderate | Re-Close Surgical Opening, Procedure To Close A Surgical Cut That Has Opened Up. Techniques That May Be Used Include Stitching The Wound Or Inserting A Packing Material For Drainage. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 12007. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 12007 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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