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Complex Wound Repair of the Scalp, Arm, or Leg

Montana 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 Montana, July 2026.

Insurers have agreed to pay about $302 for this service. The price depends on where it is billed: about $302 from a physician practice, and about $490 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$204 to $331
FacilityA hospital or hospital-owned outpatient department$490$398 to $617

How much rates vary

Facilitymedian $490 · 10th to 90th $389 to $724Professionalmedian $302 · 10th to 90th $155 to $575
$100$1K$10K$100Kfacility $490professional $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
Professional
Modifier
Global
Typical Low
$154.88
Median
$275.42
Typical High
$398.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$363.08
Typical High
$562.34
Cigna
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$398.11
Typical High
$575.44
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$537.03
Typical High
$660.69
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$537.03
Typical High
$660.69
Providence
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$323.59
Typical High
$575.44
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$371.54
Typical High
$588.84
United
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
United
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$436.52
Typical High
$645.65

Where Montana 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.

Montana· 46th 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.