go back

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

Montana 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?

$269

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $269 for this service. The price depends on where it is billed: about $269 from a physician practice, and about $457 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$269$200 to $355
FacilityA hospital or hospital-owned outpatient department$457$339 to $537

How much rates vary

Facilitymedian $457 · 10th to 90th $331 to $741Professionalmedian $269 · 10th to 90th $166 to $575
$100$500$2K$10K$50Kfacility $457professional $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
$436.52
Median
$457.09
Typical High
$741.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$269.15
Typical High
$630.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$309.03
Typical High
$489.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$331.13
Typical High
$478.63
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$478.63
Typical High
$575.44
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$478.63
Typical High
$575.44
Providence
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$281.84
Typical High
$489.78
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$309.03
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
United
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$371.54
Typical High
$537.03

Where Montana 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.

Montana· 48th of 51

$269

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.