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Multi-Layer Repair, Neck/Hands/Feet/Genitals, Longer

Alabama rates for HCPCS 12042

This is a wound repair on the neck, hands, feet, or external genital area that requires closing more than just the top layer of skin, for a longer wound than some of the other versions of this repair. It is more involved than a simple skin closure but does not require the more extensive repair used for complex wounds.

Rates data updated July 2026.

How much does Multi-Layer Repair, Neck/Hands/Feet/Genitals, Longer cost?

$275

Typical negotiated rate. In Alabama, July 2026.

Insurers have agreed to pay about $275 for this service. The price depends on where it is billed: about $245 from a physician practice, and about $575 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$245$186 to $288
FacilityA hospital or hospital-owned outpatient department$575$417 to $891

How much rates vary

Facilitymedian $575 · 10th to 90th $219 to $1,318Professionalmedian $245 · 10th to 90th $166 to $347
$100$200$500$1K$2Kfacility $575professional $245

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
$186.21
Median
$478.63
Typical High
$1,584.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$245.47
Typical High
$346.74
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$177.83
Typical High
$309.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$616.60
Typical High
$831.76
BCBS
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$213.80
Typical High
$338.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$269.15
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$645.65
Typical High
$1,548.82
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$229.09
Typical High
$309.03

Where Alabama sits

The same service costs 2.6 times more in Alaska than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Alabama· 44th of 51

$275

AK $646DC $245

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.