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Layered Stitching Of A Short Cut, Scalp Or Body

Maine rates for HCPCS 12031

Repair of a cut on the scalp, armpit, trunk, arm or leg that needs more than the surface closed, so the layer of tissue beneath the skin is stitched first and the skin is then closed over it. It covers a wound at the shorter end of the range for this kind of repair. Cuts on the hands and feet are repaired separately.

Facilitymedian $398 · 10th–90th $257$7,0790%20%40%10th90th$398Professionalmedian $224 · 10th–90th $135$4680%10%10th90th$224$100.0$500.0$2.0K$10.0K

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
$257.04
Median
$436.52
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$208.93
Typical High
$467.74
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$257.04
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$331.13
Typical High
$562.34
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$295.12
Typical High
$501.19
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$165.96
Typical High
$323.59
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$218.78
Typical High
$426.58
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$275.42
Typical High
$537.03