Deep Wound Cleaning With an Open Fracture, Including Bone
Vermont rates for HCPCS 11012
This procedure cleans out damaged tissue and debris from a wound associated with an open fracture or dislocation, removing unhealthy tissue through the skin, underlying fat, muscle covering, muscle, and down to the bone itself. It represents the deepest and most extensive level of this wound-cleaning procedure, preparing the area for proper healing.
Rates data updated July 2026.
How much does Deep Wound Cleaning With an Open Fracture, Including Bone cost?
$661
Typical physician fee. In Vermont, July 2026.
Insurers have agreed to pay about $661 for this service. Most negotiated rates run $468 to $1,047.
These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.
How much rates vary
Facilitymedian $912 · 10th to 90th $912 to $2,951Professionalmedian $661 · 10th to 90th $427 to $1,096
Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
Insurance Carrier
Facility/Professional
Modifier
Typical LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Aetna
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
Facility
Global
$912.01
$912.01
$912.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$660.69
Typical High
$1,096.48
Professional
Global
$426.58
$660.69
$1,096.48
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$2,951.21
Facility
Global
$2,290.87
$2,290.87
$2,951.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$630.96
Typical High
$1,513.56
Professional
Global
$144.54
$630.96
$1,513.56
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,071.52
Typical High
$1,071.52
Professional
Global
$724.44
$1,071.52
$1,071.52
United
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$891.25
Typical High
$1,659.59
Professional
Global
$549.54
$891.25
$1,659.59
Where Vermont sits
The same service costs 3.4 times more in Alaska than in West Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.