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Wound Bed Preparation, Face/Hands/Feet

Texas 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 $1,380 · 10th–90th $347$5,7540%5%10th90th$1,380Professionalmedian $355 · 10th–90th $229$6170%10%10th90th$355$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
$549.54
Median
$2,511.89
Typical High
$5,888.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$354.81
Typical High
$630.96
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$223.87
Typical High
$389.05
BCBS
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$831.76
Typical High
$1,778.28
BCBS
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$316.23
Typical High
$489.78
Baylor Scott & White
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$446.68
Typical High
$912.01
Baylor Scott & White
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$446.68
Typical High
$645.65
Christus
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$309.03
Typical High
$389.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$416.87
Typical High
$660.69
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$28,840.32
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
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$371.54
Typical High
$588.84
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$457.09
Typical High
$741.31
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$316.23
Providence
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$363.08
Typical High
$575.44
Providence
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$426.58
Typical High
$676.08
United
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$794.33
Typical High
$2,290.87
United
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$346.74
Typical High
$512.86
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$389.05
Typical High
$549.54