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Wound Bed Preparation, Face/Hands/Feet

Hawaii 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 $1,514 · 10th–90th $372$3,8900%20%10th90th$1,514Professionalmedian $363 · 10th–90th $229$5130%20%10th90th$363$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$371.54
Median
$1,513.56
Typical High
$3,890.45
Aetna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$446.68
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$478.63
Typical High
$602.56
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$446.68
Typical High
$562.34
United
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
United
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$426.58
Typical High
$562.34
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$302.00
Typical High
$478.63