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

Nebraska 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 $3,631 · 10th–90th $1,175$12,5890%5%10%10th90th$3,631Professionalmedian $1,023 · 10th–90th $562$3,3880%10%10th90th$1,023$500.0$1.0K$2.0K$5.0K$10.0K$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
$1,230.27
Median
$4,365.16
Typical High
$13,489.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$776.25
Typical High
$3,388.44
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,023.29
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$4,365.16
Typical High
$8,511.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$1,047.13
Typical High
$1,445.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,479.11
Typical High
$1,862.09
Medica
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$1,258.93
Typical High
$4,265.80
Medica
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,548.82
Typical High
$5,754.40
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,737.80
Typical High
$2,238.72
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,698.24
Typical High
$1,862.09
United
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$2,691.53
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,348.96
Typical High
$1,862.09