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

Montana 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.

How much does Full-Thickness Skin Graft To The Scalp, Arm, Or Leg cost?

$1,047

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $1,047 for this service. The price depends on where it is billed: about $871 from a physician practice, and about $1,259 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$871$646 to $1,230
FacilityA hospital or hospital-owned outpatient department$1,259$1,047 to $1,349

How much rates vary

Facilitymedian $1,259 · 10th to 90th $1,047 to $1,585Professionalmedian $871 · 10th to 90th $562 to $1,585
$500$2K$10K$50Kfacility $1,259professional $871

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$724.44
Typical High
$3,388.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$1,230.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,023.29
Typical High
$1,258.93
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,288.25
Typical High
$1,445.44
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,288.25
Typical High
$1,445.44
Providence
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$707.95
Typical High
$1,348.96
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$954.99
Typical High
$1,412.54
United
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,148.15
Typical High
$1,412.54

Where Montana sits

The same service costs 3.1 times more in Hawaii than in West Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Montana· 12th of 51

$1,047

HI $2,042WV $661

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.