go back

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

West 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?

$525

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $525 for this service. The price depends on where it is billed: about $490 from a physician practice, and about $1,413 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 5 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$490$331 to $562
FacilityA hospital or hospital-owned outpatient department$1,413$525 to $6,166

How much rates vary

Facilitymedian $1,413 · 10th to 90th $389 to $9,333Professionalmedian $490 · 10th to 90th $251 to $692
$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $1,413professional $490

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
$389.05
Median
$1,698.24
Typical High
$9,332.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$489.78
Typical High
$691.83
CareSource
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$323.59
Typical High
$323.59
CareSource
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$380.19
Typical High
$457.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$407.38
Typical High
$1,995.26
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$2,187.76
Typical High
$16,982.44
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$562.34
Typical High
$575.44
United
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$707.95
Typical High
$1,148.15
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$363.08
Typical High
$562.34

Where West 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.

West Virginia $525 · 8th 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.