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

Montana 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?

$380

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $380 for this service. The price depends on where it is billed: about $372 from a physician practice, and about $525 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 6 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$372$302 to $617
FacilityA hospital or hospital-owned outpatient department$525$380 to $661

How much rates vary

Facilitymedian $525 · 10th to 90th $372 to $759Professionalmedian $372 · 10th to 90th $186 to $1,148
$100.0$1.0K$10.0K$100.0Kfacility $525professional $372

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
Professional
Modifier
Global
Typical Low
$186.21
Median
$302.00
Typical High
$1,202.26
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$602.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$371.54
Typical High
$602.56
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$602.56
Typical High
$707.95
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$602.56
Typical High
$707.95
Providence
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$331.13
Typical High
$588.84
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$346.74
Typical High
$616.60
United
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$416.87
Typical High
$676.08

Where Montana 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.

Montana $380 · 28th 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.