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Complex Wound Repair of the Scalp, Arm, or Leg

Vermont 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?

$355

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $355 for this service. Most negotiated rates run $269 to $372.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $355 · 10th to 90th $234 to $501
$200$500$1Kprofessional $355

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
Professional
Modifier
Global
Typical Low
$234.42
Median
$331.13
Typical High
$371.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$478.63
Typical High
$489.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$478.63
Typical High
$831.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$588.84
Typical High
$588.84
United
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$416.87
Typical High
$831.76

Where Vermont 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.

Vermont· 24th of 51

$355

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.