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Wound Bed Preparation, Face/Hands/Feet

Arizona 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 $2,344 · 10th–90th $589$6,6070%5%10th90th$2,344Professionalmedian $363 · 10th–90th $240$1,0470%10%10th90th$363$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$3,019.95
Typical High
$6,760.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$363.08
Typical High
$1,202.26
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$2,454.71
Typical High
$4,570.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$338.84
Typical High
$933.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$354.81
Typical High
$588.84
Medica
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$389.05
Typical High
$1,949.84
Medica
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Medica
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$416.87
Typical High
$2,884.03
United
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$954.99
Typical High
$2,137.96
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$346.74
Typical High
$501.19