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Complex Wound Repair of the Scalp, Arm, or Leg

Massachusetts 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?

$427

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $427 for this service. The price depends on where it is billed: about $427 from a physician practice, and about $1,514 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 9 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$427$269 to $646
FacilityA hospital or hospital-owned outpatient department$1,514$269 to $2,884

How much rates vary

Facilitymedian $1,514 · 10th to 90th $269 to $3,715Professionalmedian $427 · 10th to 90th $209 to $912
$200$500$1K$2K$5K$10K$20Kfacility $1,514professional $427

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
$269.15
Median
$2,691.53
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$302.00
Typical High
$977.24
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$1,659.59
Typical High
$28,840.32
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$407.38
Typical High
$1,047.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$616.60
BCBS
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$616.60
Typical High
$912.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$489.78
Typical High
$891.25
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$295.12
Typical High
$3,630.78
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$478.63
Typical High
$616.60
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$2,041.74
Typical High
$3,467.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$426.58
Typical High
$891.25
Health New England
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$5,128.61
Typical High
$5,128.61
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$1,659.59
Typical High
$28,840.32
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$407.38
Typical High
$1,047.13
United
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$1,698.24
Typical High
$2,754.23
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$446.68
Typical High
$891.25

Where Massachusetts 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.

Massachusetts· 10th of 51

$427

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.