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

North Carolina 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?

$302

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $302 for this service. The price depends on where it is billed: about $295 from a physician practice, and about $447 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$209 to $407
FacilityA hospital or hospital-owned outpatient department$447$302 to $1,047

How much rates vary

Facilitymedian $447 · 10th to 90th $204 to $2,570Professionalmedian $295 · 10th to 90th $182 to $661
$1$10$100$1Kfacility $447professional $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
$218.78
Median
$446.68
Typical High
$2,570.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$302.00
Typical High
$660.69
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$245.47
Typical High
$407.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$295.12
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$309.03
Typical High
$602.56
Medcost
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$371.54
Medcost
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$281.84
Typical High
$416.87
United
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$891.25
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$245.47
Typical High
$467.74
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$2,754.23
Typical High
$2,754.23
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,570.40

Where North Carolina 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.

North Carolina· 37th of 51

$302

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.