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

Kentucky 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?

$251

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $251 for this service. The price depends on where it is billed: about $245 from a physician practice, and about $537 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$245$182 to $309
FacilityA hospital or hospital-owned outpatient department$537$282 to $1,778

How much rates vary

Facilitymedian $537 · 10th to 90th $182 to $8,511Professionalmedian $245 · 10th to 90th $162 to $513
$1$10$100$1K$10Kfacility $537professional $245

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
$181.97
Median
$489.78
Typical High
$2,818.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$251.19
Typical High
$575.44
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$10,715.19
Typical High
$11,220.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$213.80
Typical High
$295.12
CareSource
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$223.87
Typical High
$257.04
CareSource
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$295.12
Typical High
$407.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$295.12
Typical High
$295.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$323.59
Typical High
$1,479.11
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$165.96
United
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$602.56
Typical High
$1,949.84
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$245.47
Typical High
$416.87

Where Kentucky 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.

Kentucky· 50th of 51

$251

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.