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Skin Substitute Graft, Sensitive Area, Smaller Area

Montana rates for HCPCS 15275

A skin substitute material, made from processed tissue rather than the patient's own skin, is applied over a wound to protect it and support healing, in this case on a sensitive area such as the face, hands, feet, or neck. This version applies to a smaller area of a larger overall wound.

Rates data updated October 2026.

How much does Skin Substitute Graft, Sensitive Area, Smaller Area cost?

$158

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $158 for this service. The price depends on where it is billed: about $158 from a physician practice, and about $182 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$158$132 to $229
FacilityA hospital or hospital-owned outpatient department$182$145 to $275

How much rates vary

Facilitymedian $182 · 10th to 90th $145 to $631Professionalmedian $158 · 10th to 90th $93 to $257
$100$200$500$1K$2Kfacility $182professional $158

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$9,549.93
Aetna
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$131.83
Typical High
$213.80
BCBS Montana
Setting
Facility
Modifier
None
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,089.30
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$144.54
Typical High
$251.19
Cigna
Setting
Facility
Modifier
None
Typical Low
$144.54
Median
$151.36
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$162.18
Typical High
$251.19
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$144.54
Median
$169.82
Typical High
$288.40
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$154.88
Typical High
$295.12
Providence
Setting
Facility
Modifier
None
Typical Low
$144.54
Median
$151.36
Typical High
$1,862.09
Providence
Setting
Professional
Modifier
None
Typical Low
$89.13
Median
$147.91
Typical High
$251.19
United
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$1,000.00
Typical High
$1,862.09
United
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$208.93
Typical High
$281.84

Where Montana sits

The same service costs 3.2 times more in Alaska than in New Jersey. 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.

Montana· 30th of 51

$158

AK $407NJ $129

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.