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Multi-Layer Repair Of A Sizable Wound

Maine rates for HCPCS 12035

This service closes a wound on the scalp, underarm, torso, arm, or leg that goes deeper than the skin surface and requires stitching more than one layer of tissue beneath the skin, not just the surface. It applies to a wound in the middle range of length among this type of repair, longer than the smallest cuts but shorter than the most extensive ones. It does not apply to wounds on the hands, feet, face, or genitals, which are handled under separate services.

Rates data updated July 2026.

How much does Multi-Layer Repair Of A Sizable Wound cost?

$363

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $363 for this service. Most negotiated rates run $295 to $575.

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 $437 · 10th to 90th $0 to $2,570Professionalmedian $363 · 10th to 90th $200 to $692
$1$10$100$1Kfacility $437professional $363

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
$0.38
Median
$436.52
Typical High
$2,570.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$309.03
Typical High
$691.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$407.38
Typical High
$630.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$489.78
Typical High
$870.96
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$501.19
Typical High
$794.33
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$0.38
Median
$436.52
Typical High
$2,570.40
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$309.03
Typical High
$691.83
United
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$478.63
Typical High
$831.76

Where Maine sits

The same service costs 5.4 times more in Hawaii than in West Virginia. 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· 40th of 51

$363

HI $1,698WV $316

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.