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Full-Thickness Skin Graft To The Scalp, Arm, Or Leg

California rates for HCPCS 15220

A full-thickness patch of the patient's own skin, including its deeper layer, is removed from a donor site and stitched into place over a wound on the scalp, arm, or leg, and the donor site itself is stitched closed directly. This is a thicker, sturdier graft than a thin, split-thickness graft, and this entry covers the first section of coverage.

Rates data updated July 2026.

Facilitymedian $5,754 · 10th–90th $1,820$13,8040%5%10th90th$5,754Professionalmedian $776 · 10th–90th $537$3,3880%10%10th90th$776$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
$2,290.87
Median
$6,165.95
Typical High
$17,378.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$758.58
Typical High
$3,548.13
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$5,888.44
Typical High
$13,489.63
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$812.83
Typical High
$1,949.84
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$4,365.16
Typical High
$8,709.64
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$741.31
Typical High
$1,778.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$812.83
Typical High
$1,548.82
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$707.95
Typical High
$1,122.02
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$870.96
Typical High
$1,513.56
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$28,840.32
Typical High
$28,840.32
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$5,623.41
Median
$6,456.54
Typical High
$6,456.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$1,096.48
Providence
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$776.25
Typical High
$1,202.26
Providence
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$851.14
Typical High
$1,659.59
Sutter Health Plus
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$2,511.89
The Alliance
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$524.81
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$4,265.80
Typical High
$9,549.93
United
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$707.95
Typical High
$1,513.56