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

South Dakota 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?

$589

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $589 for this service. The price depends on where it is billed: about $550 from a physician practice, and about $1,096 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$550$331 to $955
FacilityA hospital or hospital-owned outpatient department$1,096$513 to $1,820

How much rates vary

Facilitymedian $1,096 · 10th to 90th $363 to $3,090Professionalmedian $550 · 10th to 90th $123 to $1,175
$100.0$200.0$500.0$1.0K$2.0Kfacility $1,096professional $550

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
$436.52
Median
$1,819.70
Typical High
$3,548.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$416.87
Typical High
$1,174.90
Avera
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$295.12
Typical High
$512.86
Avera
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$891.25
Typical High
$891.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$741.31
Typical High
$1,258.93
Medica
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$524.81
Typical High
$1,000.00
Medica
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$851.14
Typical High
$3,162.28
Midlands
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$616.60
Typical High
$977.24
Midlands
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$891.25
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$588.84
Typical High
$812.83
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$562.34
Typical High
$1,047.13
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$489.78
Typical High
$954.99

Where South Dakota 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.

South Dakota $589 · 5th 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.