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

Delaware 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?

$263

Typical negotiated rate. In Delaware, July 2026.

Insurers have agreed to pay about $263 for this service. The price depends on where it is billed: about $251 from a physician practice, and about $316 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 4 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$251$186 to $309
FacilityA hospital or hospital-owned outpatient department$316$174 to $794

How much rates vary

Facilitymedian $316 · 10th to 90th $170 to $3,236Professionalmedian $251 · 10th to 90th $170 to $562
$200$500$1K$2K$5Kfacility $316professional $251

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
$169.82
Median
$316.23
Typical High
$3,235.94
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$251.19
Typical High
$562.34
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$257.04
Typical High
$389.05
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,995.26
Typical High
$2,570.40
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$295.12
United
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$245.47
Typical High
$407.38

Where Delaware 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.

Delaware· 49th of 51

$263

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.