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See a sample rate comparisonCPT 12041 Fee Schedule
Medicare rates as of October 2026
CPT 12041 is classified under Surgery, in the Surgical Procedures on the Integumentary System subgroup.
Rpair Intermed Wounds Of Nck Hands Feet &/Or Xtrnal Geni, Repair Intermediate Wounds Of Neck Hands Feet And/Or External Geni
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Integumentary System |
| Common Place of Service | 11 - Office 23 - Emergency Room 20 - Urgent Care Facility |
| Common Modifiers | 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $262.87 national non-facility rate (2026) · View Medicare rates for 12041 |
| Medicaid Fee Schedule | $206.215 median of the 8 states in the free preview · View Medicaid rates for 12041 |
National average reimbursement for CPT 12041 by major payers:
$284.69
BCBS / Anthem
$309.37
UnitedHealthcare
$339.20
Aetna
$406.27
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 12041.
CPT 12041
5 of 25 sample ratesHigher to lower in this preview
Hoag Outpatient Centers, LLC, Hoag Endoscopy Center
Hoag Outpatient Centers LLC
$843.00Published rateEndo Surgi Center Of Old Bridge LLC
Endo-Surgi Center Of Old Bridge, LLC
$463.00Published rateColumbia Surgical Specialists, Ps, Columbia Surgery Center
Columbia Surgical Specialists, P.S.
$183.00Published rateMeredyth Surgery Center, PC
$123.00Published rateDowntown Baltimore Surgery Center, LLC
Downtown Baltimore Surgery Center LLC
$80.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 12041 vs. Other Surgical Procedures on the Integumentary System Codes
The table lists codes related to 12041. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 12041-CPT | Moderate | Rpair Intermed Wounds Of Nck Hands Feet &/Or Xtrnal Geni, Repair Intermediate Wounds Of Neck Hands Feet And/Or External Geni |
| 12042-CPT | Moderate | Rpair Intermed Wounds Of Nck Hands Feet &/Or Xtrnal Geni, Repair Intermediate Wounds Of Neck Hands Feet And/Or External Geni |
| 12044-CPT | Moderate | Rpair Intermed Wounds Of Nck Hands Feet &/Or Xtrnal Geni, Repair Intermediate Wounds Of Neck Hands Feet And/Or External Geni |
| 12055-CPT | Moderate | Intmd Rpr Face Mm 12 6 20 Cm, Repair Intermediate Wounds Of Face Ears Eyelids Nose Lips And Or Mucous Membranes 12 6 Cm To 20 0 Cm |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 12041. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 12041 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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