CPT 11442 Surgery - Integumentary

Exc face-mm b9+marg 1.1-2 cm Cost

Body System: Integumentary

Medicare Facility Rate
$132
CMS PFS CY2026
Medicare Non-Facility Rate
$194
Office/clinic setting
Hospital Outpatient
$723
OPPS rate
Surgery Center (ASC)
$130
ASC rate

Relative Value Units (RVUs)

Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)

1.73
Work RVU
2.00
Facility PE RVU
0.22
Malpractice RVU
5.81
Total RVU

Frequently Asked Questions

How much does Exc face-mm b9+marg 1.1-2 cm cost?

The Medicare facility rate is $132. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $723. Ambulatory surgery center rate: $130.

How much does Exc face-mm b9+marg 1.1-2 cm cost without insurance?

Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $132.

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