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Simple Stitched Repair, Small Wound

Vermont 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?

$97.72

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $97.72 for this service. Most negotiated rates run $66.07 to $123.

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 $427 · 10th to 90th $63 to $550Professionalmedian $98 · 10th to 90th $46 to $148
$10$20$50$100$200$500facility $427professional $98

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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$426.58
Typical High
$549.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$97.72
Typical High
$147.91
BCBS
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$263.03
Typical High
$562.34
BCBS
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$223.87
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$123.03
Typical High
$213.80
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$154.88
Typical High
$154.88
United
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$128.82
Typical High
$245.47

Where Vermont 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.

Vermont· 45th of 51

$97.72

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.