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Surgical Exploration of an Arm or Leg Wound

Pennsylvania rates for HCPCS 20103

Opens and inspects a penetrating wound of an arm or leg, such as a stab or gunshot injury, in the operating room to see how deep it goes and what it has damaged. Dirt, debris and dead tissue are cleaned out, bleeding is controlled, and injured muscle, vessels or other structures are dealt with as they are found. It goes well beyond stitching the skin at the surface.

Rates data updated July 2026.

How much does Surgical Exploration of an Arm or Leg Wound cost?

$2,455

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $2,455 for this service. Most negotiated rates run $1,230 to $5,370.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,455 · 10th to 90th $603 to $7,762
$500$1K$2K$5K$10Kfacility $2,455

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
$602.56
Median
$2,691.53
Typical High
$8,317.64
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$57,543.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$5,623.41
Typical High
$23,988.33
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$2,398.83
Typical High
$8,317.64
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$1,148.15
Typical High
$2,041.74
United
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$2,089.30
Typical High
$5,248.07

Where Pennsylvania sits

The same service costs 9.1 times more in California 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.

Pennsylvania· 14th of 50

$2,455

CA $5,129MD $562

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.