go back

Simple Stitched Repair, Small Wound

Illinois rates for HCPCS 12001

A cut or wound on the trunk, arms, legs, scalp, neck, or a similar area is cleaned and closed with a single layer of stitches. This is the smallest size tier used for this type of simple, single-layer repair.

Facilitymedian $363 · 10th–90th $87$1,5850%5%10%10th90th$363Professionalmedian $110 · 10th–90th $43$3310%5%10th90th$110$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$363.08
Typical High
$1,584.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$112.20
Typical High
$338.84
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$56.23
Typical High
$117.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$302.00
Typical High
$870.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$97.72
Typical High
$158.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$102.33
Typical High
$186.21
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$138.04
Typical High
$371.54
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$57.54
Typical High
$128.82
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$691.83
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$100.00
Typical High
$186.21