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Wound Bed Preparation, Face/Hands/Feet

Kentucky 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 $1,905 · 10th–90th $389$2,9510%5%10%10th90th$1,905Professionalmedian $324 · 10th–90th $224$5010%10%10th90th$324$50.0$100.0$200.0$500.0$1.0K$2.0K$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
$323.59
Median
$707.95
Typical High
$2,511.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$323.59
Typical High
$588.84
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$2,137.96
Typical High
$2,951.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$302.00
Typical High
$416.87
CareSource
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$295.12
Typical High
$346.74
CareSource
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$338.84
Typical High
$398.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$1,659.59
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$40.74
Median
$40.74
Typical High
$40.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$398.11
Typical High
$1,949.84
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$602.56
Typical High
$3,311.31
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$346.74
Typical High
$549.54