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Skin Substitute Graft For A Larger Wound, Sensitive Area

South Dakota rates for HCPCS 15277

This procedure applies a lab-made or donor-derived skin substitute over an open wound in a sensitive area such as the face, scalp, hands, or feet, to help protect the area and support healing. It's used for a wound that covers a sizeable surface area, larger than what a single small graft would cover. The material acts as a temporary or supportive covering rather than the patient's own skin.

Rates data updated July 2026.

Facilitymedian $479 · 10th–90th $257$3,0900%5%10%10th90th$479Professionalmedian $407 · 10th–90th $200$7590%10%10th90th$407$200.0$500.0$1.0K$2.0K

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
$223.87
Median
$3,090.30
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$288.40
Typical High
$467.74
Avera
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$616.60
Typical High
$977.24
Medica
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$426.58
Typical High
$870.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$645.65
Typical High
$2,511.89
Midlands
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$524.81
Typical High
$758.58
Midlands
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$630.96
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$489.78
Typical High
$660.69
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$467.74
Typical High
$794.33
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$457.09
Typical High
$831.76