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

Indiana 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?

$288

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $288 for this service. The price depends on where it is billed: about $257 from a physician practice, and about $2,630 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 6 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$257$191 to $324
FacilityA hospital or hospital-owned outpatient department$2,630$398 to $4,786

How much rates vary

Facilitymedian $2,630 · 10th to 90th $229 to $7,079Professionalmedian $257 · 10th to 90th $162 to $513
$100$200$500$1K$2K$5K$10Kfacility $2,630professional $257

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
$218.78
Median
$398.11
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$257.04
Typical High
$524.81
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$257.04
Typical High
$457.09
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$4,365.16
Typical High
$8,317.64
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$257.04
Typical High
$436.52
CareSource
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$223.87
Typical High
$251.19
CareSource
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$309.03
Typical High
$380.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$269.15
Typical High
$436.52
United
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$2,137.96
Typical High
$5,754.40
United
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$251.19
Typical High
$426.58

Where Indiana 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.

Indiana· 42nd of 51

$288

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.