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

Wisconsin 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.

Facilitymedian $2,818 · 10th–90th $537$6,0260%10%10th90th$2,818Professionalmedian $525 · 10th–90th $234$1,7780%10%10th90th$525$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$1,548.82
Typical High
$10,715.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$457.09
Typical High
$1,778.28
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$3,090.30
Typical High
$5,754.40
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$724.44
Typical High
$1,659.59
CareSource
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$295.12
Typical High
$316.23
CareSource
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$416.87
Typical High
$524.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,318.26
Typical High
$2,137.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$676.08
Typical High
$1,174.90
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$724.44
Typical High
$5,128.61
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$758.58
Typical High
$1,258.93
Medica
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$724.44
Typical High
$1,778.28
Medica
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$741.31
Typical High
$1,905.46
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$954.99
Network Health
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$891.25
Typical High
$2,344.23
Network Health
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$977.24
Typical High
$1,288.25
Quartz
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$758.58
Typical High
$1,380.38
Quartz
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$3,548.13
Typical High
$3,548.13
Quartz
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$645.65
Typical High
$3,019.95
Security Health
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$812.83
Security Health
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$1,096.48
Typical High
$1,819.70
United
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,584.89
Typical High
$2,187.76
United
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$501.19
Typical High
$1,737.80