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

Georgia 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?

$302

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $302 for this service. The price depends on where it is billed: about $282 from a physician practice, and about $2,399 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 8 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$282$209 to $355
FacilityA hospital or hospital-owned outpatient department$2,399$759 to $3,631

How much rates vary

Facilitymedian $2,399 · 10th to 90th $316 to $5,370Professionalmedian $282 · 10th to 90th $158 to $562
$100$200$500$1K$2K$5K$10Kfacility $2,399professional $282

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
$269.15
Median
$2,398.83
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$281.84
Typical High
$602.56
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$309.03
Typical High
$549.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$2,511.89
Typical High
$4,168.69
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$269.15
Typical High
$478.63
CareSource
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
CareSource
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$302.00
Typical High
$331.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$323.59
Typical High
$602.56
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$338.84
Typical High
$436.52
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$389.05
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$1,348.96
Typical High
$2,454.71
United
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$323.59
Typical High
$602.56

Where Georgia 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.

Georgia· 36th of 51

$302

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.