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

Utah 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 $3,162 · 10th–90th $646$4,8980%10%10th90th$3,162Professionalmedian $741 · 10th–90th $501$2,0890%10%10th90th$741$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$645.65
Median
$3,162.28
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$707.95
Typical High
$2,089.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$891.25
Typical High
$1,202.26
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$2,238.72
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$3,548.13
Typical High
$5,495.41
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$933.25
Typical High
$1,230.27
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52
Select Health
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$691.83
Typical High
$1,122.02
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$933.25
Typical High
$1,862.09
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$4,466.84
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$707.95
Typical High
$1,122.02