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Complex Wound Repair of the Scalp, Arm, or Leg

Virginia 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 Virginia, July 2026.

Insurers have agreed to pay about $347 for this service. The price depends on where it is billed: about $331 from a physician practice, and about $1,175 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 8 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$331$251 to $437
FacilityA hospital or hospital-owned outpatient department$1,175$347 to $3,802

How much rates vary

Facilitymedian $1,175 · 10th to 90th $245 to $7,079Professionalmedian $331 · 10th to 90th $209 to $646
$200$500$1K$2K$5K$10Kfacility $1,175professional $331

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
$371.54
Median
$3,467.37
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$323.59
Typical High
$630.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,570.40
Typical High
$2,951.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$371.54
Typical High
$588.84
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$223.87
Typical High
$1,047.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$354.81
Typical High
$588.84
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$416.87
Typical High
$501.19
Medcost
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$467.74
Medcost
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$323.59
Typical High
$512.86
Medcost
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
Sentara
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$316.23
Typical High
$2,630.27
Sentara
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$457.09
Typical High
$2,630.27
United
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$1,122.02
Typical High
$2,454.71
United
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$323.59
Typical High
$549.54

Where Virginia 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.

Virginia· 29th 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.