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

North Carolina 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 North Carolina, July 2026.

Insurers have agreed to pay about $417 for this service. The price depends on where it is billed: about $417 from a physician practice, and about $501 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$417$282 to $490
FacilityA hospital or hospital-owned outpatient department$501$417 to $1,000

How much rates vary

Facilitymedian $501 · 10th to 90th $251 to $3,388Professionalmedian $417 · 10th to 90th $214 to $891
$100.0$1.0K$10.0Kfacility $501professional $417

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
$251.19
Median
$501.19
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$416.87
Typical High
$891.25
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$354.81
Typical High
$707.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$398.11
Typical High
$891.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$446.68
Typical High
$851.14
Medcost
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$575.44
Medcost
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$398.11
Typical High
$602.56
United
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$891.25
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$371.54
Typical High
$660.69
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$45,708.82
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,548.13

Where North Carolina 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.

North Carolina $417 · 34th 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.