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

Idaho 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?

$331

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $331 for this service. The price depends on where it is billed: about $302 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 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$302$269 to $479
FacilityA hospital or hospital-owned outpatient department$575$355 to $1,000

How much rates vary

Facilitymedian $575 · 10th to 90th $269 to $4,467Professionalmedian $302 · 10th to 90th $200 to $562
$200$500$1K$2K$5Kfacility $575professional $302

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
$354.81
Median
$851.14
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$295.12
Typical High
$524.81
BCBS
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$501.19
Typical High
$1,047.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$407.38
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$338.84
Typical High
$512.86
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$316.23
Typical High
$512.86
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$389.05
Typical High
$602.56
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$891.25
Typical High
$1,318.26
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$407.38
Typical High
$602.56
Select Health
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$489.78
Typical High
$794.33
Select Health
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$8,317.64
Typical High
$9,332.54
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$316.23
Typical High
$501.19

Where Idaho 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.

Idaho· 29th of 51

$331

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.