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

South Dakota 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 South Dakota, July 2026.

Insurers have agreed to pay about $339 for this service. The price depends on where it is billed: about $316 from a physician practice, and about $741 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 8 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$316$269 to $513
FacilityA hospital or hospital-owned outpatient department$741$437 to $776

How much rates vary

Facilitymedian $741 · 10th to 90th $275 to $813Professionalmedian $316 · 10th to 90th $182 to $724
$200$500$1K$2Kfacility $741professional $316

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
$776.25
Typical High
$2,290.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$288.40
Typical High
$512.86
Avera
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$398.11
Typical High
$436.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$616.60
Typical High
$912.01
Medica
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$380.19
Typical High
$741.31
Medica
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$588.84
Typical High
$2,290.87
Midlands
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$457.09
Typical High
$676.08
Midlands
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$616.60
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$426.58
Typical High
$602.56
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$426.58
Typical High
$724.44
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$389.05
Typical High
$691.83

Where South Dakota 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 Dakota· 21st 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.