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Wound Bed Preparation, Face/Hands/Feet

Indiana 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 $3,631 · 10th–90th $398$7,5860%5%10%10th90th$3,631Professionalmedian $331 · 10th–90th $219$5500%10%10th90th$331$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
$295.12
Median
$2,344.23
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$331.13
Typical High
$446.68
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$162.18
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$4,073.80
Typical High
$8,317.64
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$380.19
Typical High
$645.65
CareSource
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$371.54
Typical High
$575.44
United
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$2,137.96
Typical High
$5,754.40
United
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$346.74
Typical High
$602.56