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Multi-Layer Repair Of A Sizable Wound

New Hampshire 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.

Facilitymedian $1,549 · 10th–90th $832$9,7720%10%20%10th90th$1,549Professionalmedian $417 · 10th–90th $224$9330%5%10th90th$417$100.0$200.0$500.0$1.0K$2.0K$5.0K$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
$831.76
Median
$2,398.83
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$363.08
Typical High
$851.14
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,412.54
Typical High
$3,467.37
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$426.58
Typical High
$724.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,819.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$512.86
Typical High
$977.24
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$7,413.10
Typical High
$7,413.10
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$537.03
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$7,413.10
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$524.81
Typical High
$1,047.13