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

West 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?

$372

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $372 for this service. The price depends on where it is billed: about $324 from a physician practice, and about $1,230 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 5 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$324$209 to $417
FacilityA hospital or hospital-owned outpatient department$1,230$398 to $1,778

How much rates vary

Facilitymedian $1,230 · 10th to 90th $282 to $4,266Professionalmedian $324 · 10th to 90th $170 to $513
$100$200$500$1K$2Kfacility $1,230professional $324

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
$1,412.54
Typical High
$4,265.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$323.59
Typical High
$512.86
CareSource
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$245.47
Typical High
$245.47
CareSource
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$275.42
Typical High
$331.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$295.12
Typical High
$295.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$302.00
Typical High
$1,479.11
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$812.83
Typical High
$1,023.29
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$416.87
Typical High
$416.87
United
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$707.95
Typical High
$1,148.15
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$251.19
Typical High
$398.11

Where West 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.

West Virginia· 13th of 51

$372

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.