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

Montana 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 October 2026.

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

$427

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $427 for this service. The price depends on where it is billed: about $427 from a physician practice, and about $468 from a hospital or other facility.

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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$427$372 to $676
FacilityA hospital or hospital-owned outpatient department$468$372 to $708

How much rates vary

Facilitymedian $468 · 10th to 90th $363 to $759Professionalmedian $427 · 10th to 90th $257 to $692
$100$200$500$1Kfacility $468professional $427

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$257.04
Median
$380.19
Typical High
$575.44
BCBS Montana
Setting
Facility
Modifier
None
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$407.38
Median
$407.38
Typical High
$676.08
Cigna
Setting
Facility
Modifier
None
Typical Low
$363.08
Median
$407.38
Typical High
$1,023.29
Cigna
Setting
Professional
Modifier
None
Typical Low
$346.74
Median
$446.68
Typical High
$676.08
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$371.54
Median
$467.74
Typical High
$758.58
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$389.05
Typical High
$758.58
Providence
Setting
Facility
Modifier
None
Typical Low
$363.08
Median
$407.38
Typical High
$1,023.29
Providence
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$407.38
Typical High
$676.08
United
Setting
Facility
Modifier
None
Typical Low
$186.21
Median
$199.53
Typical High
$524.81
United
Setting
Professional
Modifier
None
Typical Low
$416.87
Median
$575.44
Typical High
$776.25

Where Montana sits

The same service costs 3.2 times more in Alaska than in Florida. 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.

Montana· 24th of 51

$427

AK $1,047FL $324

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.