What does Centene pay for CPT 11301 in Flint, MI?

The local peer median for CPT 11301 under Centene in Flint, MI is $109.23, based on 776 indexed providers. Modeled from published rates, not guaranteed.

What is the top of the local market (P90) for CPT 11301 under Centene in Flint, MI?

The P90, the top of the local market and Reddenda's target rate, is $109.23.

How does Centene's rate for CPT 11301 compare to Medicare?

The Centene local median of $109.23 is 94% of Medicare's national non-facility rate of $116.24 for CPT 11301.

Reddenda · Rate Intelligence · Flint, MI

11301 under Centene in Flint, MI

Name: Centene rates for CPT 11301 in Flint, MI
Creator: Reddenda

Shaving lesion, trunk/arms/legs, 0.6-1cm · Local peer median $109.23 · Medium confidence

$109.23 local peer median. In the Flint, MI market, Centene pays a local peer median of $109.23 for CPT 11301 (Shaving lesion, trunk/arms/legs, 0.6-1cm), based on 776 providers in Reddenda's index of Centene's own published in-network rates. The top of the local market, the P90 target, is $109.23, which is the same as the median here: this payer's filed rates for this code cluster on one number, so the opportunity in this cell is reaching the median rather than exceeding it. A provider billed below the local median is being paid less than peers holding the identical Centene contract in Flint, MI for the identical code. Modeled from published rates, not guaranteed.

Local distribution · 776 providers · 776 rate records

P10

$43.25

P25

$109.23

Median

$109.23

P75

$109.23

P90 (target)

$109.23

P10$43.25

P25$109.23

Median (P50)$109.23

P75$109.23

P90 target$109.23

Peer basis: local peer distribution: same CPT, same payer file, same metro (CBSA) Benchmark: local peer median; never a national average Range: $43.25 – $227.67

The local peer median for CPT 11301 under Centene in Flint, MI is $109.23, drawn from 776 distinct providers.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Centene to publish this rate
The bottom of the local market (P10) is $43.25 and the top (P90) is $109.23; the median-to-P90 spread is $0.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Centene to publish this rate
The lowest published rate in this market is $43.25; the highest is $227.67.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Centene to publish this rate
This benchmark is drawn from 776 individual rate records that Centene itself published for this code in this metro.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Centene to publish this rate
Medicare's national non-facility rate for CPT 11301 is $116.24, making the Centene local median 94% of Medicare.Source: Medicare Physician Fee Schedule; the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Centene to publish this rate
84.8% of indexed providers cluster at the single most common rate; the remainder shows a real, scoreable spread across the local market.Source: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Centene to publish this rate
A federal No Surprises Act arbitrator may weigh up to four plan years of a provider's own contracted rate history and local market share when resolving a payment dispute over this exact code and payer.Source: 45 CFR §149.510(c)(4)(iii)(B)

776 providers bill this code to this payer in this metro.

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This is the local market for CPT 11301 (Shaving lesion, trunk/arms/legs, 0.6-1cm) under Centene in Flint, MI. Enter your NPI to see your own contracted rate against this peer curve, per payer and per code. Free, about 15 seconds, no card and no PHI.

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Documented reimbursement opportunity, modeled from published rates and never a guaranteed outcome.

Modeled from Centene's own published in-network rates, never guaranteed and never a national average. Peer basis: same CPT, same payer file, same metro (CBSA). Federal citation for the underlying obligation: the federal Transparency in Coverage Rule (45 CFR §147.212), which compels Centene to publish this rate. Page generated 2026-08-23 23:47 UTC; the live index is queried in real time on every request.