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

Illinois 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?

$417

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $417 for this service. The price depends on where it is billed: about $389 from a physician practice, and about $1,259 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$389$269 to $550
FacilityA hospital or hospital-owned outpatient department$1,259$692 to $2,570

How much rates vary

Facilitymedian $1,259 · 10th to 90th $389 to $5,370Professionalmedian $389 · 10th to 90th $209 to $813
$50.0$200.0$1.0K$5.0K$20.0Kfacility $1,259professional $389

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
$389.05
Median
$1,288.25
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$389.05
Typical High
$831.76
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$331.13
Typical High
$389.05
BCBS
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$707.95
Typical High
$4,677.35
BCBS
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$416.87
Typical High
$707.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$436.52
Typical High
$741.31
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$562.34
Typical High
$1,288.25
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$323.59
Typical High
$562.34
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$707.95
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$446.68
Typical High
$870.96

Where Illinois sits

The same service costs 2.6 times more in Alaska than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Illinois $417 · 36th of 51
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.