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

Pennsylvania 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?

$363

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $363 for this service. The price depends on where it is billed: about $324 from a physician practice, and about $2,630 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 10 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$324$209 to $389
FacilityA hospital or hospital-owned outpatient department$2,630$1,047 to $5,012

How much rates vary

Facilitymedian $2,630 · 10th to 90th $575 to $7,762Professionalmedian $324 · 10th to 90th $191 to $550
$100.0$500.0$2.0K$10.0K$50.0Kfacility $2,630professional $324

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
$588.84
Median
$2,951.21
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$309.03
Typical High
$549.54
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,258.93
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$331.13
Typical High
$537.03
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$446.68
Typical High
$645.65
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,412.54
Typical High
$2,691.53
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$363.08
Typical High
$380.19
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$2,454.71
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$338.84
Typical High
$1,202.26
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$331.13
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$1,698.24
Typical High
$2,951.21
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$223.87
Typical High
$380.19
United
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$891.25
Typical High
$3,890.45
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$323.59
Typical High
$549.54

Where Pennsylvania 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.

Pennsylvania $363 · 36th 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.