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Simple Wound Closure, Larger Area

Maine rates for HCPCS 12005

This is a straightforward stitched closure of a longer surface wound on the scalp, neck, trunk, arms, or legs, involving only the skin's outer layers without deeper tissue repair. It applies to wounds too long for the smallest simple closures but not requiring the more extensive layered repair used for larger or more complex injuries.

Rates data updated July 2026.

How much does Simple Wound Closure, Larger Area cost?

$162

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $162 for this service. Most negotiated rates run $123 to $269.

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 $372 · 10th to 90th $355 to $617Professionalmedian $158 · 10th to 90th $93 to $339
$1$10$100facility $372professional $158

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
$186.21
Median
$371.54
Typical High
$616.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$134.90
Typical High
$181.97
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$165.96
Typical High
$295.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$213.80
Typical High
$380.19
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$223.87
Typical High
$398.11
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$371.54
Typical High
$616.60
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$134.90
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$204.17
Typical High
$380.19

Where Maine sits

The same service costs 6.2 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.

Maine· 47th of 51

$162

CA $851DC $138

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.