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Lab-Grown Skin Graft to Face, Hands or Feet

Montana rates for HCPCS 15155

Applies a sheet of skin grown in a laboratory from a small sample of the patient's own skin onto a wound of the face, scalp, eyelids, mouth, neck, ears, genitals, hands or feet. It covers the first and smallest area treated in the session; further area treated is billed in addition.

Rates data updated July 2026.

Facilitymedian $1,288 · 10th–90th $1,047$1,5140%20%10th90th$1,288Professionalmedian $1,259 · 10th–90th $708$3,9810%10%20%10th90th$1,259$100.0$200.0$500.0$1.0K$2.0K$5.0K$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
Professional
Modifier
Global
Typical Low
$707.95
Median
$776.25
Typical High
$4,365.16
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,071.52
Typical High
$1,258.93
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,348.96
Typical High
$1,513.56
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,348.96
Typical High
$1,513.56
Providence
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$851.14
Typical High
$1,412.54
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$1,047.13
Typical High
$1,513.56
United
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
United
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,202.26
Typical High
$1,479.11