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Wound Bed Preparation, Face/Hands/Feet

New Jersey 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 $4,786 · 10th–90th $501$9,7720%10%10th90th$4,786Professionalmedian $363 · 10th–90th $224$2,0420%20%10th90th$363$0.5$5.0$50.0$500.0$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
$501.19
Median
$5,370.32
Typical High
$10,232.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$354.81
Typical High
$2,187.76
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$588.84
Typical High
$5,128.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$380.19
Typical High
$741.31
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$562.34
Typical High
$660.69
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,778.28
Typical High
$2,818.38
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$407.38
Typical High
$707.95
United
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$2,754.23
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$288.40
Typical High
$645.65