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Complex Wound Repair, Scalp/Arm/Leg, Medium Size

Georgia rates for HCPCS 13121

A provider closes a wound on the scalp, arm, or leg using a more involved, multi-layered repair technique rather than simple stitches, for a wound of a moderate size. This method may involve additional steps like extensive cleaning, removing damaged tissue, or reshaping the wound edges to achieve a better result. It's used when a wound is too complicated or contaminated for a basic closure.

Rates data updated July 2026.

How much does Complex Wound Repair, Scalp/Arm/Leg, Medium Size cost?

$427

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $427 for this service. The price depends on where it is billed: about $398 from a physician practice, and about $3,090 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$398$263 to $501
FacilityA hospital or hospital-owned outpatient department$3,090$1,288 to $5,248

How much rates vary

Facilitymedian $3,090 · 10th to 90th $562 to $6,457Professionalmedian $398 · 10th to 90th $200 to $813
$100$500$2K$10Kfacility $3,090professional $398

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
$489.78
Median
$4,570.88
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$380.19
Typical High
$831.76
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$380.19
Typical High
$724.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$2,511.89
Typical High
$4,073.80
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$398.11
Typical High
$676.08
CareSource
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$295.12
CareSource
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$407.38
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$478.63
Typical High
$891.25
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$467.74
Typical High
$660.69
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$524.81
Typical High
$602.56
United
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$1,348.96
Typical High
$2,454.71
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$467.74
Typical High
$851.14

Where Georgia sits

The same service costs 2.6 times more in Alaska than in Washington, DC. 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.

Georgia· 31st of 51

$427

AK $933DC $363

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.