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

Missouri 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?

$363

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $363 for this service. The price depends on where it is billed: about $295 from a physician practice, and about $1,230 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$295$229 to $479
FacilityA hospital or hospital-owned outpatient department$1,230$550 to $2,512

How much rates vary

Facilitymedian $1,230 · 10th to 90th $263 to $4,266Professionalmedian $295 · 10th to 90th $178 to $1,072
$100$200$500$1K$2K$5Kfacility $1,230professional $295

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
$229.09
Median
$1,071.52
Typical High
$5,370.32
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$309.03
Typical High
$1,174.90
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$263.03
Typical High
$457.09
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,778.28
Typical High
$3,981.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$263.03
Typical High
$457.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$302.00
Typical High
$389.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$309.03
Typical High
$501.19
Medica
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$331.13
Typical High
$1,258.93
Medica
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$398.11
Typical High
$2,290.87
United
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$630.96
Typical High
$1,513.56
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$281.84
Typical High
$478.63

Where Missouri 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.

Missouri· 17th of 51

$363

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.