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Wound Bed Preparation, Face/Hands/Feet

Washington 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 $912 · 10th–90th $398$8,5110%10%10th90th$912Professionalmedian $513 · 10th–90th $288$1,0230%10%20%10th90th$513$20.0$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
$524.81
Median
$2,454.71
Typical High
$9,549.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$436.52
Typical High
$1,148.15
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,949.84
Typical High
$3,467.37
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$537.03
Typical High
$954.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$562.34
Typical High
$912.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$549.54
Typical High
$1,096.48
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$602.56
Typical High
$1,096.48
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$588.84
Typical High
$933.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$114.82
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$758.58
Typical High
$794.33
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$537.03
Typical High
$537.03
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$549.54
Typical High
$977.24
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,819.70
Typical High
$3,388.44
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$549.54
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$1,318.26
Typical High
$2,754.23
United
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$524.81
Typical High
$1,000.00
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$457.09
Typical High
$588.84