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Wound Bed Preparation, Face/Hands/Feet

Kansas 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 $2,455 · 10th–90th $398$7,4130%5%10th90th$2,455Professionalmedian $389 · 10th–90th $234$5750%10%10th90th$389$100.0$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
$457.09
Median
$3,467.37
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$346.74
Typical High
$537.03
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$107.15
Typical High
$194.98
BCBS
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$977.24
Typical High
$1,202.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$575.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$436.52
Typical High
$630.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$446.68
Typical High
$2,818.38
Medica
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$457.09
Typical High
$2,884.03
United
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$416.87
Typical High
$1,659.59
United
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$407.38
Typical High
$588.84