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

Michigan 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?

$275

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $275 for this service. The price depends on where it is billed: about $269 from a physician practice, and about $525 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$269$229 to $355
FacilityA hospital or hospital-owned outpatient department$525$240 to $2,042

How much rates vary

Facilitymedian $525 · 10th to 90th $174 to $4,898Professionalmedian $269 · 10th to 90th $166 to $490
$1$10$100$1Kfacility $525professional $269

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
$173.78
Median
$524.81
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$269.15
Typical High
$489.78
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$263.03
Typical High
$501.19
CareSource
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$288.40
Typical High
$1,000.00
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$363.08
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$302.00
Typical High
$467.74
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$831.76
Typical High
$1,318.26
United
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$870.96
Typical High
$1,862.09
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$281.84
Typical High
$416.87

Where Michigan 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.

Michigan· 45th of 51

$275

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.