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Complex Wound Repair of the Scalp, Arm, or Leg

North Carolina 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?

$316

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $316 for this service. The price depends on where it is billed: about $316 from a physician practice, and about $813 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$224 to $372
FacilityA hospital or hospital-owned outpatient department$813$347 to $1,288

How much rates vary

Facilitymedian $813 · 10th to 90th $224 to $6,761Professionalmedian $316 · 10th to 90th $200 to $724
$200$500$1K$2K$5Kfacility $813professional $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
$338.84
Median
$870.96
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$302.00
Typical High
$724.44
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$316.23
Typical High
$724.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$363.08
Typical High
$707.95
Medcost
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$467.74
Medcost
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$338.84
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$891.25
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$302.00
Typical High
$549.54
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$28,840.32
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$2,951.21

Where North Carolina 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.

North Carolina· 40th of 51

$316

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.