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Wound Bed Preparation, Face/Hands/Feet

Tennessee 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 $1,622 · 10th–90th $389$4,0740%5%10%10th90th$1,622Professionalmedian $372 · 10th–90th $224$7080%10%10th90th$372$100.0$500.0$2.0K$10.0K

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
$426.58
Median
$1,862.09
Typical High
$4,786.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$371.54
Typical High
$707.95
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$213.80
Typical High
$501.19
BCBS
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,513.56
Typical High
$2,187.76
BCBS
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$371.54
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$398.11
Typical High
$758.58
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$28,840.32
Lucent Health
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$3,311.31
Typical High
$3,311.31
United
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$794.33
Typical High
$2,137.96
United
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$389.05
Typical High
$676.08