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

Virginia 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?

$324

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $324 for this service. The price depends on where it is billed: about $295 from a physician practice, and about $550 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$295$234 to $389
FacilityA hospital or hospital-owned outpatient department$550$324 to $2,630

How much rates vary

Facilitymedian $550 · 10th to 90th $224 to $5,248Professionalmedian $295 · 10th to 90th $186 to $562
$100$200$500$1K$2K$5K$10Kfacility $550professional $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
$281.84
Median
$645.65
Typical High
$5,248.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$295.12
Typical High
$562.34
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,570.40
Typical High
$2,951.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$316.23
Typical High
$512.86
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$194.98
Typical High
$1,047.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$302.00
Typical High
$501.19
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$363.08
Typical High
$436.52
Medcost
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$371.54
Medcost
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$281.84
Typical High
$446.68
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,230.27
Sentara
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$263.03
Typical High
$4,073.80
Sentara
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$389.05
Typical High
$4,073.80
United
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$1,122.02
Typical High
$2,454.71
United
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$269.15
Typical High
$478.63

Where Virginia 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.

Virginia· 30th of 51

$324

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.