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Wound Bed Preparation, Face/Hands/Feet

Virginia 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 $1,096 · 10th–90th $302$6,9180%5%10th90th$1,096Professionalmedian $407 · 10th–90th $245$7240%10%10th90th$407$50.0$200.0$1.0K$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
$371.54
Median
$2,137.96
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$398.11
Typical High
$724.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,570.40
Typical High
$2,951.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$407.38
Typical High
$645.65
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$281.84
Typical High
$2,511.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
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
$251.19
Median
$389.05
Typical High
$676.08
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$478.63
Typical High
$575.44
Medcost
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$660.69
Medcost
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$380.19
Typical High
$602.56
Medcost
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Sentara
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$363.08
Typical High
$4,073.80
Sentara
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$537.03
Typical High
$4,073.80
United
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$1,122.02
Typical High
$2,454.71
United
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$371.54
Typical High
$630.96