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

Hawaii 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 $2,818 · 10th–90th $1,148$3,8900%20%40%10th90th$2,818Professionalmedian $2,042 · 10th–90th $676$5,3700%10%10th90th$2,042$50.0$100.0$200.0$500.0$1.0K$2.0K$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
$1,148.15
Median
$2,818.38
Typical High
$3,890.45
Aetna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$851.14
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$912.01
Typical High
$1,202.26
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$912.01
Typical High
$1,071.52
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
United
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$831.76
Typical High
$1,096.48
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$2,089.30
Typical High
$5,370.32