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Layered Wound Closure, Face/Nose/Lips, Mid-Range Size

Maine rates for HCPCS 12054

This is a layered surgical repair of a cut or wound on the face, ears, eyelids, nose, lips, or inside the mouth, closing both the deeper tissue and the skin surface for a longer wound in this area. Compared to simple stitching, a layered closure also brings together the tissue beneath the skin, which supports better healing and a finer scar in a visible area. It is typically used after a traumatic injury or removal of a growth that leaves a sizable wound.

Rates data updated July 2026.

How much does Layered Wound Closure, Face/Nose/Lips, Mid-Range Size cost?

$339

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $339 for this service. Most negotiated rates run $263 to $513.

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 $794 · 10th to 90th $617 to $794Professionalmedian $331 · 10th to 90th $195 to $676
$200.0$500.0$1.0Kfacility $794professional $331

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
$616.60
Median
$794.33
Typical High
$794.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$302.00
Typical High
$363.08
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$363.08
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$478.63
Typical High
$851.14
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$436.52
Typical High
$758.58
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$794.33
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$302.00
Typical High
$691.83
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$436.52
Typical High
$776.25

Where Maine sits

The same service costs 4.4 times more in California than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Maine $339 · 46th of 51
CA $1,349DC $309

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.