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

South 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?

$309

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $309 for this service. The price depends on where it is billed: about $295 from a physician practice, and about $603 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$214 to $331
FacilityA hospital or hospital-owned outpatient department$603$331 to $1,549

How much rates vary

Facilitymedian $603 · 10th to 90th $214 to $9,120Professionalmedian $295 · 10th to 90th $191 to $525
$100$500$2K$10Kfacility $603professional $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
$257.04
Median
$660.69
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$295.12
Typical High
$537.03
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$186.21
Typical High
$524.81
BCBS
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$416.87
Typical High
$794.33
BCBS
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$245.47
Typical High
$380.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$295.12
Typical High
$489.78
Medcost
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
Medcost
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$288.40
Typical High
$446.68
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$1,202.26
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$251.19
Typical High
$416.87

Where South 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.

South Carolina· 33rd of 51

$309

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.