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

Illinois 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?

$309

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $309 for this service. The price depends on where it is billed: about $288 from a physician practice, and about $741 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 7 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$288$229 to $437
FacilityA hospital or hospital-owned outpatient department$741$372 to $1,778

How much rates vary

Facilitymedian $741 · 10th to 90th $240 to $3,631Professionalmedian $288 · 10th to 90th $170 to $661
$1$10$100$1K$10Kfacility $741professional $288

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
$234.42
Median
$741.31
Typical High
$4,168.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$281.84
Typical High
$707.95
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$218.78
Typical High
$426.58
BCBS
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$707.95
Typical High
$3,548.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$323.59
Typical High
$524.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$316.23
Typical High
$512.86
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$407.38
Typical High
$794.33
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$245.47
Typical High
$407.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$691.83
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$309.03
Typical High
$645.65

Where Illinois 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.

Illinois· 32nd of 51

$309

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.