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

Maine 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?

$295

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $295 for this service. Most negotiated rates run $229 to $447.

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.

How much rates vary

Facilitymedian $617 · 10th to 90th $479 to $1,148Professionalmedian $275 · 10th to 90th $170 to $550
$200$500$1Kfacility $617professional $275

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
$478.63
Median
$616.60
Typical High
$1,148.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$239.88
Typical High
$549.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$309.03
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$389.05
Typical High
$676.08
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$371.54
Typical High
$588.84
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$616.60
Typical High
$1,148.15
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$239.88
Typical High
$512.86
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$371.54
Typical High
$660.69

Where Maine 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.

Maine· 39th of 51

$295

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.