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Layered Repair Of A Longer Facial Or Lip Wound

New York rates for HCPCS 12055

Closure of a wound on the face, ears, eyelids, nose, lips, or inside the mouth that goes deeper than the skin, requiring stitches placed in layers to close the deeper tissue as well as the surface. This version is for a longer wound than the more limited version of this repair. Layered closure generally produces a stronger repair and a better cosmetic result than a simple surface-only repair.

Rates data updated July 2026.

Facilitymedian $3,236 · 10th–90th $437$7,5860%5%10th90th$3,236Professionalmedian $407 · 10th–90th $269$1,0960%5%10%10th90th$407$100.0$500.0$2.0K$10.0K$50.0K

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
$380.19
Median
$2,951.21
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$398.11
Typical High
$1,023.29
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$3,630.78
Typical High
$5,011.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$407.38
Typical High
$1,096.48
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$1,698.24
Typical High
$6,165.95
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$724.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$549.54
Typical High
$1,202.26
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$363.08
Typical High
$933.25
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$758.58
Typical High
$1,122.02
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$537.03
Typical High
$933.25
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$575.44
Typical High
$870.96
United
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$2,454.71
Typical High
$4,897.79
United
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$478.63
Typical High
$1,174.90
Univera
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$323.59
Typical High
$954.99
Univera
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$575.44
Typical High
$1,174.90