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Wound Bed Preparation, Face/Hands/Feet

Minnesota 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 $1,318 · 10th–90th $389$3,0200%10%10th90th$1,318Professionalmedian $692 · 10th–90th $355$1,4130%5%10th90th$692$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
$245.47
Median
$389.05
Typical High
$389.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$389.05
Typical High
$1,412.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$2,089.30
Typical High
$4,365.16
BCBS
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$724.44
Typical High
$1,348.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,412.54
Typical High
$3,890.45
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
$562.34
Median
$933.25
Typical High
$1,659.59
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,548.82
Typical High
$3,019.95
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$851.14
Typical High
$1,548.82
Medica
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$537.03
Typical High
$1,737.80
Medica
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$758.58
Typical High
$1,905.46
United
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,584.89
Typical High
$2,951.21
United
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$630.96
Typical High
$1,258.93