go back

Complex Wound Repair of the Scalp, Arm, or Leg

South 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?

$347

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $347 for this service. The price depends on where it is billed: about $316 from a physician practice, and about $955 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$251 to $380
FacilityA hospital or hospital-owned outpatient department$955$380 to $5,623

How much rates vary

Facilitymedian $955 · 10th to 90th $251 to $9,772Professionalmedian $316 · 10th to 90th $224 to $631
$100$500$2K$10Kfacility $955professional $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
$251.19
Median
$5,623.41
Typical High
$21,877.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$316.23
Typical High
$630.96
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$891.25
Typical High
$1,479.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$309.03
Typical High
$467.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$537.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$338.84
Typical High
$588.84
Medcost
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Medcost
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$338.84
Typical High
$512.86
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$1,202.26
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$295.12
Typical High
$478.63

Where South 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.

South Carolina· 30th 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.