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

Oklahoma 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 $3,311 · 10th–90th $794$8,1280%5%10th90th$3,311Professionalmedian $741 · 10th–90th $589$1,0000%20%10th90th$741$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
$758.58
Median
$1,513.56
Typical High
$6,456.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$741.31
Typical High
$794.33
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$5,623.41
Typical High
$9,332.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$776.25
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$812.83
Typical High
$1,023.29
Medica
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$870.96
Typical High
$3,981.07
Medica
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$831.76
Typical High
$5,754.40
United
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$1,995.26
Typical High
$3,981.07
United
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$676.08
Typical High
$954.99