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

Michigan 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?

$380

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $380 for this service. The price depends on where it is billed: about $372 from a physician practice, and about $832 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$372$240 to $468
FacilityA hospital or hospital-owned outpatient department$832$380 to $3,890

How much rates vary

Facilitymedian $832 · 10th to 90th $178 to $4,898Professionalmedian $372 · 10th to 90th $204 to $661
$1.0$10.0$100.0$1.0K$10.0Kfacility $832professional $372

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
$177.83
Median
$831.76
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$371.54
Typical High
$645.65
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$389.05
Typical High
$389.05
BCBS
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$331.13
Typical High
$691.83
CareSource
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$416.87
Typical High
$1,288.25
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$1,202.26
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$446.68
Typical High
$660.69
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,071.52
Typical High
$1,819.70
United
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$870.96
Typical High
$1,862.09
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$416.87
Typical High
$645.65

Where Michigan 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.

Michigan $380 · 47th 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.