go back

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

New Jersey 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?

$339

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $339 for this service. The price depends on where it is billed: about $288 from a physician practice, and about $3,090 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$288$191 to $407
FacilityA hospital or hospital-owned outpatient department$3,090$1,023 to $6,026

How much rates vary

Facilitymedian $3,090 · 10th to 90th $251 to $10,233Professionalmedian $288 · 10th to 90th $170 to $1,047
$200$500$1K$2K$5K$10Kfacility $3,090professional $288

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
$251.19
Median
$3,090.30
Typical High
$9,332.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$288.40
Typical High
$1,174.90
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$10,715.19
Typical High
$16,982.44
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$263.03
Typical High
$831.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$295.12
Typical High
$691.83
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$416.87
Typical High
$501.19
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,288.25
Typical High
$2,041.74
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$295.12
Typical High
$537.03
United
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$2,754.23
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$213.80
Typical High
$457.09

Where New Jersey 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.

New Jersey· 24th of 51

$339

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.