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Complex Wound Repair of the Scalp, Arm, or Leg

New Jersey 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?

$347

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $347 for this service. The price depends on where it is billed: about $309 from a physician practice, and about $5,370 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$309$219 to $417
FacilityA hospital or hospital-owned outpatient department$5,370$2,754 to $7,586

How much rates vary

Facilitymedian $5,370 · 10th to 90th $309 to $10,233Professionalmedian $309 · 10th to 90th $200 to $1,259
$200$500$1K$2K$5K$10Kfacility $5,370professional $309

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
$251.19
Median
$5,888.44
Typical High
$10,471.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$302.00
Typical High
$2,041.74
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$302.00
Typical High
$1,122.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$346.74
Typical High
$776.25
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$478.63
Typical High
$575.44
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,659.59
Typical High
$2,290.87
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$354.81
Typical High
$645.65
United
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$2,754.23
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$257.04
Typical High
$549.54

Where New Jersey 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.

New Jersey· 28th of 51

$347

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.