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Wound Bed Preparation, Face/Hands/Feet

Idaho 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 $759 · 10th–90th $331$5,4950%5%10%10th90th$759Professionalmedian $427 · 10th–90th $269$7240%10%20%10th90th$427$50.0$200.0$1.0K$5.0K

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
$1,621.81
Median
$5,495.41
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$398.11
Typical High
$602.56
BCBS
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$758.58
Typical High
$1,621.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$524.81
Typical High
$758.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$446.68
Typical High
$676.08
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$426.58
Typical High
$676.08
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$562.34
Typical High
$794.33
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,412.54
Typical High
$2,041.74
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$549.54
Typical High
$758.58
Select Health
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$501.19
Typical High
$977.24
Select Health
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$8,317.64
Typical High
$9,332.54
United
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$426.58
Typical High
$676.08