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Complex Wound Repair, Cheek Or Neck Area, Small-Medium

Vermont rates for HCPCS 13131

A wound on the forehead, cheek, chin, mouth area, neck, armpit, genital area, hand, or foot is closed using a complex, multi-layer repair technique that goes beyond basic stitching, such as releasing tight tissue around the wound edges to allow it to close properly. This version covers one of the smaller wound lengths handled this way in these areas.

Rates data updated October 2026.

How much does Complex Wound Repair, Cheek Or Neck Area, Small-Medium cost?

$447

Typical negotiated rate. In Vermont, October 2026.

Insurers have agreed to pay about $447 for this service. The price depends on where it is billed: about $437 from a physician practice, and about $501 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$437$372 to $617
FacilityA hospital or hospital-owned outpatient department$501$479 to $501

How much rates vary

Facilitymedian $501 · 10th to 90th $407 to $501Professionalmedian $437 · 10th to 90th $288 to $676
$200$500$1Kfacility $501professional $437

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$302.00
Typical High
$398.11
BCBS Vermont
Setting
Facility
Modifier
None
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
BCBS Vermont
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$524.81
Typical High
$537.03
Cigna
Setting
Facility
Modifier
None
Typical Low
$407.38
Median
$407.38
Typical High
$501.19
Cigna
Setting
Professional
Modifier
None
Typical Low
$346.74
Median
$512.86
Typical High
$794.33
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$416.87
Median
$645.65
Typical High
$645.65
United
Setting
Facility
Modifier
None
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
United
Setting
Professional
Modifier
None
Typical Low
$288.40
Median
$457.09
Typical High
$831.76

Where Vermont sits

The same service costs 3.5 times more in Alaska than in Maryland. 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.

Vermont· 13th of 51

$447

AK $977MD $282

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.