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Skin Substitute Graft, Trunk or Limbs, Large Wound

Montana rates for HCPCS 15273

Placement of a skin substitute, a manufactured or donor sheet laid over a wound or burn to help it heal, on the trunk, an arm or a leg. This covers the first portion of a wound that spans a large area of skin; in infants and small children the area treated is measured as a share of total body surface.

Rates data updated July 2026.

How much does Skin Substitute Graft, Trunk or Limbs, Large Wound cost?

$715

Typical total for the visit. In Montana, July 2026.

Insurers have agreed to pay about $715 for this procedure. That total is two separate charges: $288 to the doctor who performs it, and $427 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$288$195 to $355
Facility feeThe hospital or surgery center$427$339 to $537

How much rates vary

Facilitymedian $427 · 10th to 90th $331 to $631Professionalmedian $288 · 10th to 90th $174 to $537
$100$1K$10K$100Kfacility $427professional $288

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$263.03
Typical High
$537.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$489.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$346.74
Typical High
$489.78
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$489.78
Typical High
$575.44
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$489.78
Typical High
$575.44
Providence
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$281.84
Typical High
$478.63
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$316.23
Typical High
$512.86
United
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$398.11
Typical High
$562.34

Where Montana sits

The same service costs 14.8 times more in Indiana than in North Dakota. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

Montana· 48th of 49

$715

$288 physician + $427 facility

IN $10,257ND $691

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.