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Complex Wound Repair of the Scalp, Arm, or Leg

South Dakota 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?

$380

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $380 for this service. The price depends on where it is billed: about $380 from a physician practice, and about $501 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$380$302 to $589
FacilityA hospital or hospital-owned outpatient department$501$347 to $832

How much rates vary

Facilitymedian $501 · 10th to 90th $282 to $3,090Professionalmedian $380 · 10th to 90th $214 to $776
$200$500$1K$2Kfacility $501professional $380

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
$234.42
Median
$3,090.30
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$302.00
Typical High
$478.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$741.31
Typical High
$1,047.13
Medica
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$436.52
Typical High
$831.76
Medica
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$691.83
Typical High
$2,630.27
Midlands
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$537.03
Typical High
$812.83
Midlands
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$724.44
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$501.19
Typical High
$676.08
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$501.19
Typical High
$870.96
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$457.09
Typical High
$812.83

Where South Dakota 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 Dakota· 15th of 51

$380

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.