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

Virginia 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 Virginia, July 2026.

Insurers have agreed to pay about $447 for this service. The price depends on where it is billed: about $417 from a physician practice, and about $1,122 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$417$302 to $550
FacilityA hospital or hospital-owned outpatient department$1,122$447 to $4,677

How much rates vary

Facilitymedian $1,122 · 10th to 90th $302 to $7,079Professionalmedian $417 · 10th to 90th $224 to $794
$50.0$200.0$1.0K$5.0Kfacility $1,122professional $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
$371.54
Median
$3,235.94
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$416.87
Typical High
$794.33
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,570.40
Typical High
$2,951.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$426.58
Typical High
$691.83
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$257.04
Typical High
$1,047.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$426.58
Typical High
$676.08
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$501.19
Typical High
$588.84
Medcost
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$575.44
Medcost
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$398.11
Typical High
$645.65
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,698.24
Sentara
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$371.54
Typical High
$4,073.80
Sentara
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$562.34
Typical High
$4,073.80
United
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$1,122.02
Typical High
$2,454.71
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$398.11
Typical High
$691.83

Where Virginia 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.

Virginia $447 · 21st 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.