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Wound Bed Preparation, Face/Hands/Feet

Illinois 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 $1,259 · 10th–90th $245$5,3700%5%10%10th90th$1,259Professionalmedian $389 · 10th–90th $240$7080%10%20%10th90th$389$0.2$2.0$20.0$200.0$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
$245.47
Median
$1,318.26
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$371.54
Typical High
$724.44
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$154.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$707.95
Typical High
$4,786.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$416.87
Typical High
$707.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$407.38
Typical High
$660.69
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$575.44
Typical High
$1,584.89
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$331.13
Typical High
$524.81
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$707.95
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$416.87
Typical High
$741.31