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Complex Wound Repair of the Scalp, Arm, or Leg

West 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?

$302

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $302 for this service. The price depends on where it is billed: about $282 from a physician practice, and about $1,738 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 5 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$282$229 to $363
FacilityA hospital or hospital-owned outpatient department$1,738$324 to $1,738

How much rates vary

Facilitymedian $1,738 · 10th to 90th $214 to $1,738Professionalmedian $282 · 10th to 90th $204 to $759
$200$500$1Kfacility $1,738professional $282

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
$213.80
Median
$1,737.80
Typical High
$1,737.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$263.03
Typical High
$758.58
CareSource
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$288.40
CareSource
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$346.74
Typical High
$1,698.24
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
United
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$707.95
Typical High
$1,148.15
United
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$302.00
Typical High
$467.74

Where West 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.

West Virginia· 48th of 51

$302

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.