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

Texas 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 $2,399 · 10th–90th $676$6,4570%5%10th90th$2,399Professionalmedian $741 · 10th–90th $537$1,2300%10%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
$691.83
Median
$2,570.40
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$724.44
Typical High
$1,202.26
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$2,691.53
Typical High
$5,011.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$741.31
Typical High
$1,122.02
Baylor Scott & White
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
Christus
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$1,862.09
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$851.14
Typical High
$1,288.25
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$28,840.32
Typical High
$28,840.32
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$5,623.41
Median
$6,456.54
Typical High
$6,456.54
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$776.25
Typical High
$1,148.15
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$977.24
Typical High
$1,445.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$616.60
Providence
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$776.25
Typical High
$1,148.15
Providence
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$851.14
Typical High
$1,348.96
United
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$2,041.74
Typical High
$4,168.69
United
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$707.95
Typical High
$1,023.29
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$758.58
Typical High
$1,047.13