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

South Carolina 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 $4,677 · 10th–90th $661$10,4710%5%10th90th$4,677Professionalmedian $741 · 10th–90th $562$1,2880%10%20%10th90th$741$50.0$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
$660.69
Median
$5,623.41
Typical High
$21,877.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$741.31
Typical High
$1,621.81
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$4,786.30
Typical High
$7,079.46
BCBS
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$741.31
Typical High
$1,202.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$812.83
Typical High
$1,174.90
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
Medcost
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$794.33
Typical High
$1,148.15
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$6,309.57
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$676.08
Typical High
$1,096.48