go back

Complex Wound Repair of the Scalp, Arm, or Leg

Michigan 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?

$309

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $309 for this service. The price depends on where it is billed: about $302 from a physician practice, and about $871 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$302$214 to $347
FacilityA hospital or hospital-owned outpatient department$871$339 to $2,884

How much rates vary

Facilitymedian $871 · 10th to 90th $1 to $4,898Professionalmedian $302 · 10th to 90th $162 to $407
$1$10$100$1Kfacility $871professional $302

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
$0.68
Median
$870.96
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$281.84
Typical High
$407.38
BCBS
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$309.03
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$338.84
Typical High
$1,148.15
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$954.99
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$354.81
Typical High
$524.81
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$977.24
Typical High
$1,513.56
United
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$870.96
Typical High
$1,862.09
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$338.84
Typical High
$478.63

Where Michigan 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.

Michigan· 42nd of 51

$309

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.