{"procedure":{"code_type":"CPT","code":"12034","lay_name":"Layered repair of scalp, trunk or limb wound, 7.6 to 12.5 cm","blurb":"Multi-layer stitch repair, including the tissue under the skin, of a cut on the scalp, underarm, trunk, arm or leg (not hands or feet), with repaired length totaling 7.6 to 12.5 cm.","slug":"cpt-12034-layered-repair-of-scalp-trunk-or-limb-wound-7-6-to-12-5-cm","description":"Repair Intermediate S/a/T/E 7.6-12.5 Cm","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"171","label":"Suture of skin and subcutaneous tissue","surgery_flag":"broad"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:10:45.071082Z","filing_date_min":"2022-09-01","filing_date_max":"2026-09-22","checked_from":"2026-07-21T03:10:38.720322Z","checked_through":"2026-09-25T01:13:55.396173Z","n_priced_setters":3956,"n_filed":2869,"n_usable":2672,"n_not_usable":1,"n_labelled":88,"n_no_cash":101,"n_estimated":7,"n_states":50,"cash_p10":237.06,"cash_p20":328.8,"cash_p25":376.96,"cash_p50":576.72,"cash_p75":923.0,"cash_p80":1070.0,"cash_p90":1699.31,"cash_mean_trimmed":618.2,"gross_p50":950.0,"cash_to_gross_p50":0.65,"medicare_rate":415.32,"medicare_schedule":"opps","medicare_year":2026,"cash_to_medicare_p50":1.3886,"by_state":[{"state":"AK","n":15,"p20":429.5,"p50":892.45,"p80":1686.0},{"state":"AL","n":29,"p20":197.75,"p50":380.8,"p80":800.0},{"state":"AR","n":36,"p20":281.91,"p50":532.6,"p80":1385.28},{"state":"AZ","n":31,"p20":452.0,"p50":488.24,"p80":1278.0},{"state":"CA","n":139,"p20":487.35,"p50":1092.0,"p80":1412.0},{"state":"CO","n":51,"p20":398.65,"p50":634.9,"p80":963.9},{"state":"CT","n":19,"p20":538.38,"p50":846.0,"p80":1129.0},{"state":"DE","n":5,"p20":null,"p50":null,"p80":null},{"state":"FL","n":100,"p20":368.0,"p50":995.0,"p80":2328.24},{"state":"GA","n":90,"p20":367.5,"p50":647.1,"p80":898.95},{"state":"HI","n":16,"p20":547.95,"p50":942.2,"p80":1098.3},{"state":"IA","n":80,"p20":249.0,"p50":447.0,"p80":703.8},{"state":"ID","n":21,"p20":370.4,"p50":451.75,"p80":1117.0},{"state":"IL","n":118,"p20":347.4,"p50":702.8,"p80":1055.7},{"state":"IN","n":59,"p20":319.81,"p50":581.17,"p80":3554.11},{"state":"KS","n":78,"p20":300.0,"p50":427.0,"p80":810.0},{"state":"KY","n":45,"p20":314.02,"p50":331.5,"p80":650.02},{"state":"LA","n":47,"p20":186.72,"p50":328.46,"p80":620.0},{"state":"MA","n":49,"p20":514.64,"p50":837.75,"p80":1406.0},{"state":"MD","n":3,"p20":null,"p50":null,"p80":null},{"state":"ME","n":22,"p20":278.0,"p50":336.0,"p80":481.85},{"state":"MI","n":77,"p20":225.0,"p50":482.0,"p80":878.05},{"state":"MN","n":92,"p20":366.56,"p50":546.99,"p80":818.4},{"state":"MO","n":57,"p20":268.47,"p50":450.0,"p80":1105.0},{"state":"MS","n":50,"p20":172.0,"p50":279.0,"p80":550.4},{"state":"MT","n":34,"p20":255.71,"p50":455.49,"p80":572.85},{"state":"NC","n":54,"p20":310.23,"p50":410.25,"p80":522.6},{"state":"ND","n":27,"p20":410.4,"p50":630.0,"p80":698.0},{"state":"NE","n":69,"p20":454.02,"p50":607.0,"p80":791.0},{"state":"NH","n":20,"p20":187.2,"p50":276.52,"p80":616.54},{"state":"NJ","n":52,"p20":442.61,"p50":1060.58,"p80":3986.0},{"state":"NM","n":27,"p20":357.5,"p50":592.62,"p80":1814.0},{"state":"NV","n":15,"p20":442.0,"p50":500.0,"p80":890.41},{"state":"NY","n":110,"p20":344.07,"p50":642.0,"p80":1755.0},{"state":"OH","n":89,"p20":373.2,"p50":779.35,"p80":876.0},{"state":"OK","n":64,"p20":257.0,"p50":499.2,"p80":898.8},{"state":"OR","n":51,"p20":452.25,"p50":617.6,"p80":1045.2},{"state":"PA","n":118,"p20":394.8,"p50":817.28,"p80":2199.0},{"state":"RI","n":8,"p20":null,"p50":null,"p80":null},{"state":"SC","n":45,"p20":294.0,"p50":748.34,"p80":1134.25},{"state":"SD","n":33,"p20":531.56,"p50":706.16,"p80":928.0},{"state":"TN","n":50,"p20":237.8,"p50":349.45,"p80":649.0},{"state":"TX","n":176,"p20":423.0,"p50":651.0,"p80":1045.0},{"state":"UT","n":28,"p20":446.96,"p50":693.65,"p80":730.16},{"state":"VA","n":55,"p20":296.55,"p50":584.0,"p80":854.6},{"state":"VT","n":12,"p20":218.2,"p50":361.9,"p80":1428.84},{"state":"WA","n":71,"p20":472.5,"p50":673.0,"p80":1035.36},{"state":"WI","n":83,"p20":392.62,"p50":551.0,"p80":812.5},{"state":"WV","n":38,"p20":379.0,"p50":552.5,"p80":799.0},{"state":"WY","n":14,"p20":234.84,"p50":339.07,"p80":802.0}],"by_segment":{"hospital_type":[{"key":"acute","n":1776,"p20":348.0,"p50":634.9,"p80":1200.4},{"key":"childrens","n":55,"p20":512.4,"p50":864.0,"p80":1997.42},{"key":"critical_access","n":836,"p20":291.55,"p50":509.15,"p80":792.18}],"ownership":[{"key":"for_profit","n":284,"p20":379.2,"p50":647.1,"p80":2072.1},{"key":"government","n":553,"p20":298.35,"p50":493.0,"p80":815.4},{"key":"nonprofit","n":1830,"p20":333.0,"p50":607.1,"p80":1092.0}],"affiliation":[{"key":"affiliated","n":2112,"p20":348.0,"p50":614.0,"p80":1108.8},{"key":"independent","n":560,"p20":272.8,"p50":475.0,"p80":837.0}]},"histogram":[{"lo":180.0,"hi":240.41,"n":146},{"lo":240.41,"hi":321.1,"n":217},{"lo":321.1,"hi":428.87,"n":325},{"lo":428.87,"hi":572.81,"n":499},{"lo":572.81,"hi":765.06,"n":402},{"lo":765.06,"hi":1021.83,"n":377},{"lo":1021.83,"hi":1364.78,"n":222},{"lo":1364.78,"hi":1822.84,"n":97},{"lo":1822.84,"hi":2434.63,"n":86},{"lo":2434.63,"hi":3251.75,"n":35}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:10:45.071082Z","filing_date_min":"2022-09-01","filing_date_max":"2026-09-22","checked_from":"2026-07-21T03:10:38.720322Z","checked_through":"2026-09-25T01:13:55.396173Z","n_priced_setters":3956,"n_filed":2078,"n_usable":1932,"n_not_usable":0,"n_labelled":52,"n_no_cash":94,"n_estimated":0,"n_states":50,"cash_p10":255.77,"cash_p20":336.79,"cash_p25":392.6,"cash_p50":619.2,"cash_p75":971.12,"cash_p80":1092.0,"cash_p90":1588.0,"cash_mean_trimmed":652.16,"gross_p50":1016.0,"cash_to_gross_p50":0.65,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AK","n":10,"p20":330.87,"p50":648.5,"p80":1248.0},{"state":"AL","n":13,"p20":285.76,"p50":392.6,"p80":791.13},{"state":"AR","n":11,"p20":224.54,"p50":282.47,"p80":392.0},{"state":"AZ","n":22,"p20":361.76,"p50":452.0,"p80":745.5},{"state":"CA","n":125,"p20":533.7,"p50":1092.0,"p80":1716.0},{"state":"CO","n":38,"p20":468.0,"p50":765.45,"p80":1239.2},{"state":"CT","n":13,"p20":803.0,"p50":1095.0,"p80":1129.0},{"state":"DE","n":4,"p20":null,"p50":null,"p80":null},{"state":"FL","n":81,"p20":602.0,"p50":1024.4,"p80":1667.57},{"state":"GA","n":69,"p20":408.75,"p50":647.1,"p80":898.95},{"state":"HI","n":10,"p20":377.99,"p50":661.05,"p80":1059.0},{"state":"IA","n":53,"p20":323.2,"p50":496.0,"p80":719.55},{"state":"ID","n":16,"p20":451.75,"p50":657.15,"p80":1117.0},{"state":"IL","n":104,"p20":384.46,"p50":702.8,"p80":1048.0},{"state":"IN","n":33,"p20":277.2,"p50":488.0,"p80":1038.0},{"state":"KS","n":60,"p20":400.0,"p50":1155.84,"p80":2090.7},{"state":"KY","n":39,"p20":316.93,"p50":335.7,"p80":952.8},{"state":"LA","n":29,"p20":237.06,"p50":328.9,"p80":620.0},{"state":"MA","n":42,"p20":514.64,"p50":844.0,"p80":1241.0},{"state":"MD","n":1,"p20":null,"p50":null,"p80":null},{"state":"ME","n":19,"p20":248.05,"p50":340.56,"p80":481.85},{"state":"MI","n":59,"p20":319.0,"p50":482.0,"p80":878.05},{"state":"MN","n":69,"p20":365.4,"p50":529.2,"p80":690.8},{"state":"MO","n":28,"p20":268.47,"p50":363.0,"p80":998.2},{"state":"MS","n":33,"p20":172.0,"p50":237.12,"p80":365.0},{"state":"MT","n":24,"p20":325.65,"p50":468.0,"p80":572.85},{"state":"NC","n":36,"p20":315.0,"p50":410.25,"p80":469.0},{"state":"ND","n":16,"p20":408.24,"p50":512.0,"p80":655.2},{"state":"NE","n":26,"p20":454.02,"p50":583.25,"p80":792.12},{"state":"NH","n":17,"p20":191.94,"p50":276.52,"p80":636.89},{"state":"NJ","n":21,"p20":530.28,"p50":1158.0,"p80":1895.7},{"state":"NM","n":19,"p20":341.6,"p50":399.7,"p80":1814.0},{"state":"NV","n":6,"p20":null,"p50":null,"p80":null},{"state":"NY","n":62,"p20":344.07,"p50":706.0,"p80":1168.0},{"state":"OH","n":77,"p20":372.53,"p50":779.35,"p80":876.0},{"state":"OK","n":47,"p20":250.21,"p50":418.8,"p80":728.4},{"state":"OR","n":35,"p20":474.05,"p50":673.89,"p80":1116.9},{"state":"PA","n":102,"p20":480.28,"p50":1212.0,"p80":2199.0},{"state":"RI","n":3,"p20":null,"p50":null,"p80":null},{"state":"SC","n":37,"p20":348.0,"p50":748.34,"p80":1134.25},{"state":"SD","n":25,"p20":531.56,"p50":672.0,"p80":845.0},{"state":"TN","n":37,"p20":223.73,"p50":296.55,"p80":437.1},{"state":"TX","n":131,"p20":449.25,"p50":735.76,"p80":1045.0},{"state":"UT","n":24,"p20":446.96,"p50":693.65,"p80":730.16},{"state":"VA","n":50,"p20":296.55,"p50":557.2,"p80":848.85},{"state":"VT","n":9,"p20":null,"p50":null,"p80":null},{"state":"WA","n":53,"p20":473.14,"p50":702.1,"p80":950.6},{"state":"WI","n":67,"p20":389.34,"p50":551.0,"p80":812.5},{"state":"WV","n":16,"p20":346.5,"p50":509.73,"p80":796.95},{"state":"WY","n":11,"p20":255.77,"p50":667.2,"p80":1109.0}],"by_segment":{"hospital_type":[{"key":"acute","n":1330,"p20":356.45,"p50":648.4,"p80":1112.8},{"key":"childrens","n":33,"p20":448.0,"p50":848.85,"p80":1766.0},{"key":"critical_access","n":565,"p20":307.2,"p50":539.9,"p80":857.17}],"ownership":[{"key":"for_profit","n":167,"p20":328.8,"p50":647.1,"p80":1333.66},{"key":"government","n":372,"p20":324.6,"p50":551.0,"p80":975.0},{"key":"nonprofit","n":1389,"p20":344.07,"p50":639.0,"p80":1093.0}],"affiliation":[{"key":"affiliated","n":1547,"p20":356.8,"p50":641.38,"p80":1095.0},{"key":"independent","n":385,"p20":273.9,"p50":542.19,"p80":1021.5}]},"histogram":[{"lo":197.4,"hi":251.17,"n":88},{"lo":251.17,"hi":319.58,"n":152},{"lo":319.58,"hi":406.64,"n":171},{"lo":406.64,"hi":517.4,"n":264},{"lo":517.4,"hi":658.33,"n":268},{"lo":658.33,"hi":837.65,"n":257},{"lo":837.65,"hi":1065.82,"n":229},{"lo":1065.82,"hi":1356.14,"n":160},{"lo":1356.14,"hi":1725.53,"n":85},{"lo":1725.53,"hi":2195.55,"n":66}],"previous":null}},"related":[{"code_type":"CPT","code":"12001","lay_name":"Simple wound stitching on trunk or limbs, up to 2.5 cm","slug":"cpt-12001-simple-wound-stitching-on-trunk-or-limbs-up-to-2-5-cm"},{"code_type":"CPT","code":"12002","lay_name":"Simple wound stitching on trunk or limbs, 2.6 to 7.5 cm","slug":"cpt-12002-simple-wound-stitching-on-trunk-or-limbs-2-6-to-7-5-cm"},{"code_type":"CPT","code":"12032","lay_name":"Layered repair of scalp, trunk or limb wound, 2.6 to 7.5 cm","slug":"cpt-12032-layered-repair-of-scalp-trunk-or-limb-wound-2-6-to-7-5-cm"},{"code_type":"CPT","code":"12011","lay_name":"Simple wound stitching on face or lips, up to 2.5 cm","slug":"cpt-12011-simple-wound-stitching-on-face-or-lips-up-to-2-5-cm"},{"code_type":"CPT","code":"12031","lay_name":"Layered repair of scalp, trunk or limb wound, up to 2.5 cm","slug":"cpt-12031-layered-repair-of-scalp-trunk-or-limb-wound-up-to-2-5-cm"},{"code_type":"CPT","code":"12013","lay_name":"Simple wound stitching on face or lips, 2.6 to 5 cm","slug":"cpt-12013-simple-wound-stitching-on-face-or-lips-2-6-to-5-cm"},{"code_type":"CPT","code":"12004","lay_name":"Simple wound stitching on trunk or limbs, 7.6 to 12.5 cm","slug":"cpt-12004-simple-wound-stitching-on-trunk-or-limbs-7-6-to-12-5-cm"},{"code_type":"CPT","code":"12042","lay_name":"Layered repair of neck, hand or foot wound, 2.6 to 7.5 cm","slug":"cpt-12042-layered-repair-of-neck-hand-or-foot-wound-2-6-to-7-5-cm"},{"code_type":"CPT","code":"12041","lay_name":"Layered repair of neck, hand or foot wound, up to 2.5 cm","slug":"cpt-12041-layered-repair-of-neck-hand-or-foot-wound-up-to-2-5-cm"},{"code_type":"CPT","code":"12051","lay_name":"Layered repair of face or lip wound, up to 2.5 cm","slug":"cpt-12051-layered-repair-of-face-or-lip-wound-up-to-2-5-cm"},{"code_type":"CPT","code":"12052","lay_name":"Layered stitch repair of face or mouth wound, 2.6-5 cm","slug":"cpt-12052-layered-stitch-repair-of-face-or-mouth-wound-2-6-5-cm"},{"code_type":"CPT","code":"12014","lay_name":"Simple stitching of face or lip wound, 5.1 to 7.5 cm","slug":"cpt-12014-simple-stitching-of-face-or-lip-wound-5-1-to-7-5-cm"}]}