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Simple Stitched Repair, Small Wound

Maine 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.

Rates data updated July 2026.

How much does Simple Stitched Repair, Small Wound cost?

$93.33

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $93.33 for this service. Most negotiated rates run $63.10 to $186.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $257 · 10th to 90th $71 to $347Professionalmedian $81 · 10th to 90th $45 to $174
$1$10$100$1K$10Kfacility $257professional $81

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$257.04
Typical High
$346.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$72.44
Typical High
$162.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$83.18
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$107.15
Typical High
$204.17
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$120.23
Typical High
$218.78
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$245.47
Typical High
$398.11
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$72.44
Typical High
$181.97
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$112.20
Typical High
$204.17

Where Maine sits

The same service costs 3.0 times more in Wisconsin than in Delaware. 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.

Maine· 47th of 51

$93.33

WI $245DE $83.18

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.