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

New Jersey 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?

$447

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $447 for this service. The price depends on where it is billed: about $380 from a physician practice, and about $4,677 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 6 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$380$251 to $537
FacilityA hospital or hospital-owned outpatient department$4,677$1,479 to $7,943

How much rates vary

Facilitymedian $4,677 · 10th to 90th $437 to $10,233Professionalmedian $380 · 10th to 90th $224 to $1,380
$200$500$1K$2K$5K$10Kfacility $4,677professional $380

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
$416.87
Median
$5,370.32
Typical High
$10,232.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$380.19
Typical High
$1,698.24
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$8,317.64
Typical High
$15,848.93
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$724.44
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$416.87
Typical High
$977.24
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$575.44
Typical High
$676.08
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,698.24
Typical High
$2,290.87
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$426.58
Typical High
$776.25
United
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$2,754.23
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$302.00
Typical High
$676.08

Where New Jersey 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.

New Jersey· 20th of 51

$447

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.