CPT 12014: Simple Repair of Superficial Facial Wounds 5.1–7.5 cm
Medicare pays $177 and commercial payers pay $230 on average nationally for this procedure.
CPT code 12014 describes the simple repair of superficial wounds of the face, ears, eyelids, nose, lips, and mucous membranes measuring 5.1 to 7.5 cm; service type is simple wound repair and the typical site of service is an outpatient clinic, emergency department, or ambulatory surgical setting for minor facial laceration management.
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National Reimbursement Benchmarks
Medicare’s mean rate of $177.3 sits below BUCA’s average commercial mean of $230, indicating that BUCA reimburses notably higher on average for CPT 12014 than the Medicare benchmark. The gap of $52.7 between those means highlights a material spread between a public payer baseline and a commercial average for this code.
Rate dispersion (P75 minus P25) varies meaningfully across payers: Blue Cross Blue Shield shows the widest spread at $121.0 ($344.6 − $223.6), followed by Cigna at $138.7 ($250.9 − $116.2) and UnitedHealth Group at $129.5 ($259.6 − $130.1). Aetna’s dispersion is tighter at $83.4 ($121.7 − $37.8). BUCA’s interquartile spread is $118.8 ($287.2 − $168.4), and Medicare’s interquartile range is narrow at $19 ($185 − $166).