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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 October 2026.

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

$955

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $955 for this service. The price depends on where it is billed: about $955 from a physician practice, and about $1,072 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$955$794 to $1,148
FacilityA hospital or hospital-owned outpatient department$1,072$912 to $1,349

How much rates vary

Facilitymedian $1,072 · 10th to 90th $891 to $1,585Professionalmedian $955 · 10th to 90th $575 to $1,259
$100$200$500$1K$2K$5Kfacility $1,072professional $955

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$562.34
Median
$724.44
Typical High
$1,071.52
BCBS Montana
Setting
Facility
Modifier
None
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,089.30
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$954.99
Typical High
$1,230.27
Cigna
Setting
Facility
Modifier
None
Typical Low
$954.99
Median
$1,819.70
Typical High
$5,128.61
Cigna
Setting
Professional
Modifier
None
Typical Low
$812.83
Median
$1,023.29
Typical High
$1,230.27
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$891.25
Median
$1,047.13
Typical High
$1,412.54
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$588.84
Median
$912.01
Typical High
$1,445.44
Providence
Setting
Facility
Modifier
None
Typical Low
$954.99
Median
$1,819.70
Typical High
$5,128.61
Providence
Setting
Professional
Modifier
None
Typical Low
$575.44
Median
$870.96
Typical High
$1,230.27
United
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$1,000.00
Typical High
$1,862.09
United
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$1,148.15
Typical High
$1,380.38

Where Montana sits

The same service costs 4.2 times more in Alaska than in Texas. 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· 14th of 51

$955

AK $2,455TX $589

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.