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

Tennessee 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?

$331

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $331 for this service. The price depends on where it is billed: about $288 from a physician practice, and about $1,072 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$229 to $398
FacilityA hospital or hospital-owned outpatient department$1,072$389 to $2,138

How much rates vary

Facilitymedian $1,072 · 10th to 90th $214 to $2,818Professionalmedian $288 · 10th to 90th $166 to $724
$100$200$500$1K$2K$5Kfacility $1,072professional $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
$208.93
Median
$891.25
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$288.40
Typical High
$645.65
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$288.40
Typical High
$354.81
BCBS
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,513.56
Typical High
$2,187.76
BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$316.23
Typical High
$537.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$338.84
Typical High
$575.44
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$2,754.23
Typical High
$2,754.23
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,570.40
Typical High
$2,570.40
United
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$794.33
Typical High
$2,137.96
United
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$281.84
Typical High
$501.19

Where Tennessee 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.

Tennessee· 27th of 51

$331

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.