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Simple Wound Stitching, Medium Length

Vermont rates for HCPCS 12004

Basic stitched closure of a cut or wound on the scalp, neck, trunk, arms, legs, or genital area that goes through the outer layers of skin but doesn't involve deeper tissue repair. This covers a wound whose total length falls in a medium range, roughly 3 to 5 inches.

Rates data updated July 2026.

How much does Simple Wound Stitching, Medium Length cost?

$135

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $135 for this service. Most negotiated rates run $115 to $155.

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 $417 · 10th to 90th $417 to $661Professionalmedian $135 · 10th to 90th $83 to $158
$100$200$500facility $417professional $135

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
$416.87
Median
$416.87
Typical High
$416.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$134.90
Typical High
$158.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$660.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$144.54
Typical High
$288.40
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$218.78
Typical High
$218.78
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$173.78
Typical High
$309.03

Where Vermont sits

The same service costs 4.4 times more in California than in Washington, DC. 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· 42nd of 51

$135

CA $479DC $110

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.