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Complex Wound Repair of the Scalp, Arm, or Leg

Kentucky 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?

$302

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $302 for this service. The price depends on where it is billed: about $269 from a physician practice, and about $2,291 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$269$214 to $331
FacilityA hospital or hospital-owned outpatient department$2,291$1,413 to $3,548

How much rates vary

Facilitymedian $2,291 · 10th to 90th $355 to $4,365Professionalmedian $269 · 10th to 90th $191 to $457
$200$500$1K$2K$5Kfacility $2,291professional $269

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
$218.78
Median
$794.33
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$288.40
Typical High
$645.65
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$2,398.83
Typical High
$4,365.16
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$245.47
Typical High
$346.74
CareSource
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$257.04
Typical High
$302.00
CareSource
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$295.12
Typical High
$346.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$371.54
Typical High
$1,698.24
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$602.56
Typical High
$1,949.84
United
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$295.12
Typical High
$478.63

Where Kentucky 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.

Kentucky· 45th of 51

$302

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.