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Skin Substitute Graft, Sensitive Area, Smaller Area

West Virginia 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 July 2026.

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

$148

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $148 for this service. The price depends on where it is billed: about $138 from a physician practice, and about $3,162 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$138$91.20 to $162
FacilityA hospital or hospital-owned outpatient department$3,162$1,230 to $4,786

How much rates vary

Facilitymedian $3,162 · 10th to 90th $100 to $5,248Professionalmedian $138 · 10th to 90th $81 to $204
$50$100$200$500$1K$2K$5Kfacility $3,162professional $138

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
Facility
Modifier
Global
Typical Low
$147.91
Median
$3,162.28
Typical High
$5,248.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$134.90
Typical High
$199.53
CareSource
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$120.23
Typical High
$120.23
CareSource
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$144.54
Typical High
$173.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$151.36
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$154.88
Typical High
$776.25
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$2,570.40
Typical High
$8,709.64
United
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,288.25
Typical High
$2,511.89
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$147.91
Typical High
$251.19

Where West Virginia sits

The same service costs 3.2 times more in Alaska than in Vermont. 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.

West Virginia· 40th of 51

$148

AK $363VT $112

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.