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Wound Bed Preparation, Face/Hands/Feet

Iowa 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 $1,622 · 10th–90th $525$6,7610%5%10%10th90th$1,622Professionalmedian $562 · 10th–90th $245$1,6980%5%10%10th90th$562$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
$537.03
Median
$2,951.21
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$512.86
Typical High
$1,737.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$741.31
Typical High
$1,148.15
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$457.09
Typical High
$1,621.81
Medica
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$851.14
Typical High
$1,862.09
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
$436.52
Median
$691.83
Typical High
$1,905.46
Midlands
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$724.44
Typical High
$1,318.26
United
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$1,096.48
Typical High
$2,884.03
United
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$457.09
Typical High
$933.25
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$501.19
Typical High
$794.33