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Wound Bed Preparation, Face/Hands/Feet

Alaska rates for HCPCS 15004

This procedure prepares a wound on the face, hands, feet, or genital area to receive a skin graft or wound covering by surgically cleaning and removing damaged tissue from the wound bed. It creates a healthy surface that will allow a subsequent graft to attach and heal properly.

Rates data updated July 2026.

Facilitymedian $871 · 10th–90th $347$9,5500%5%10%10th90th$871Professionalmedian $891 · 10th–90th $309$1,5850%10%10th90th$891$100.0$200.0$500.0$1.0K$2.0K$5.0K$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$1,288.25
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$398.11
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$426.58
Typical High
$1,288.25
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$398.11
Typical High
$1,862.09
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$912.01
Typical High
$1,348.96
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,288.25
Typical High
$1,584.89
Providence
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$398.11
Typical High
$1,862.09
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$426.58
Typical High
$1,202.26
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$562.34
Typical High
$1,096.48