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Complex Wound Repair of the Scalp, Arm, or Leg

Illinois 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?

$331

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $331 for this service. The price depends on where it is billed: about $316 from a physician practice, and about $1,318 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 7 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$245 to $427
FacilityA hospital or hospital-owned outpatient department$1,318$589 to $3,236

How much rates vary

Facilitymedian $1,318 · 10th to 90th $324 to $5,129Professionalmedian $316 · 10th to 90th $191 to $603
$100$200$500$1K$2K$5K$10Kfacility $1,318professional $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
$323.59
Median
$1,479.11
Typical High
$5,370.32
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$309.03
Typical High
$602.56
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
BCBS
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$707.95
Typical High
$4,265.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$363.08
Typical High
$602.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$371.54
Typical High
$616.60
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$467.74
Typical High
$933.25
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$288.40
Typical High
$467.74
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$691.83
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$363.08
Typical High
$645.65

Where Illinois 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.

Illinois· 31st of 51

$331

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.