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Wound Bed Preparation, Face/Hands/Feet

Louisiana 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 $1,148 · 10th–90th $398$3,7150%5%10th90th$1,148Professionalmedian $372 · 10th–90th $263$5370%10%10th90th$372$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
$436.52
Median
$1,513.56
Typical High
$4,168.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$380.19
Typical High
$537.03
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$131.83
Typical High
$263.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$1,023.29
Typical High
$1,548.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$363.08
Typical High
$478.63
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$309.03
Typical High
$309.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$363.08
Typical High
$588.84
United
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$562.34
Typical High
$1,258.93
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$354.81
Typical High
$588.84