go back

Complex Wound Repair of the Scalp, Arm, or Leg

Idaho rates for HCPCS 13120

This procedure closes a wound on the scalp, arm, or leg using a repair technique that goes beyond simple stitching, such as layered closure, extensive cleaning, or reshaping of the wound edges to support the best possible healing and appearance. It applies to a medium-length wound in these areas. Complex repairs are typically used for deeper, more irregular, or more heavily contaminated wounds than a standard repair.

Rates data updated July 2026.

How much does Complex Wound Repair of the Scalp, Arm, or Leg cost?

$355

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $355 for this service. The price depends on where it is billed: about $347 from a physician practice, and about $661 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$347$302 to $490
FacilityA hospital or hospital-owned outpatient department$661$331 to $1,622

How much rates vary

Facilitymedian $661 · 10th to 90th $251 to $5,495Professionalmedian $347 · 10th to 90th $209 to $617
$200$500$1K$2K$5K$10Kfacility $661professional $347

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
$1,621.81
Median
$4,466.84
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$323.59
Typical High
$549.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$660.69
Typical High
$1,621.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$457.09
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$398.11
Typical High
$602.56
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$363.08
Typical High
$588.84
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$446.68
Typical High
$691.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,412.54
Typical High
$2,041.74
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$489.78
Typical High
$691.83
Select Health
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$501.19
Typical High
$977.24
Select Health
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$8,317.64
Typical High
$9,332.54
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$380.19
Typical High
$588.84

Where Idaho sits

The same service costs 2.6 times more in Alaska than in Delaware. 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.

Idaho· 26th of 51

$355

AK $794DE $302

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.