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

West Virginia 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?

$331

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $331 for this service. The price depends on where it is billed: about $240 from a physician practice, and about $457 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 5 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$240$191 to $355
FacilityA hospital or hospital-owned outpatient department$457$457 to $1,072

How much rates vary

Facilitymedian $457 · 10th to 90th $209 to $1,072Professionalmedian $240 · 10th to 90th $107 to $407
$100.0$200.0$500.0$1.0Kfacility $457professional $240

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
$208.93
Median
$457.09
Typical High
$1,071.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$218.78
Typical High
$407.38
CareSource
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$281.84
CareSource
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$371.54
Typical High
$1,905.46
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$707.95
Typical High
$1,148.15
United
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$302.00
Typical High
$501.19

Where West Virginia 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.

West Virginia $331 · 47th 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.