go back

Wound Bed Preparation, Face/Hands/Feet

Maine 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 $1,585 · 10th–90th $891$2,3990%20%40%10th90th$1,585Professionalmedian $363 · 10th–90th $229$6760%10%10th90th$363$200.0$500.0$1.0K$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
$891.25
Median
$1,737.80
Typical High
$2,398.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$323.59
Typical High
$398.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$416.87
Typical High
$630.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$489.78
Typical High
$870.96
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$501.19
Typical High
$776.25
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,584.89
Typical High
$2,398.83
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$323.59
Typical High
$660.69
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$501.19
Typical High
$891.25