go back

Wound Bed Preparation, Face/Hands/Feet

South Carolina 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 $1,820 · 10th–90th $331$11,7490%5%10th90th$1,820Professionalmedian $363 · 10th–90th $234$6920%10%10th90th$363$50.0$200.0$1.0K$5.0K$20.0K

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
$354.81
Median
$7,244.36
Typical High
$11,748.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$363.08
Typical High
$691.83
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$660.69
BCBS
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$1,174.90
Typical High
$1,995.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$316.23
Typical High
$537.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$389.05
Typical High
$602.56
Medcost
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
Medcost
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$389.05
Typical High
$575.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$1,202.26
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$338.84
Typical High
$562.34