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Layered Stitched Repair, Trunk Or Limb, Mid-Large Wound

Kentucky rates for HCPCS 12034

A wound on the scalp, trunk, arm, or leg is closed in layers, stitching the deeper tissue as well as the skin surface, rather than with a single layer of stitches, typically because the wound is deep or under tension. This version covers a wound in the mid-to-larger range of lengths handled this way.

Rates data updated July 2026.

How much does Layered Stitched Repair, Trunk Or Limb, Mid-Large Wound cost?

$309

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $309 for this service. The price depends on where it is billed: about $263 from a physician practice, and about $2,089 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$263$195 to $339
FacilityA hospital or hospital-owned outpatient department$2,089$1,023 to $3,236

How much rates vary

Facilitymedian $2,089 · 10th to 90th $316 to $4,266Professionalmedian $263 · 10th to 90th $170 to $525
$200$500$1K$2K$5Kfacility $2,089professional $263

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
$257.04
Median
$588.84
Typical High
$3,801.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$275.42
Typical High
$724.44
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$218.78
Typical High
$467.74
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$2,398.83
Typical High
$4,365.16
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$218.78
Typical High
$309.03
CareSource
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$229.09
Typical High
$275.42
CareSource
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$263.03
Typical High
$309.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$338.84
Typical High
$1,621.81
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$165.96
United
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$602.56
Typical High
$1,949.84
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$257.04
Typical High
$446.68

Where Kentucky sits

The same service costs 7.4 times more in Hawaii 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.

Kentucky· 44th of 51

$309

HI $1,995DE $269

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.