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Skin Substitute Graft For A Larger Wound, Sensitive Area

Wisconsin 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 $3,981 · 10th–90th $447$6,9180%10%10th90th$3,981Professionalmedian $468 · 10th–90th $214$1,2020%5%10%10th90th$468$50.0$200.0$1.0K$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
$181.97
Median
$794.33
Typical High
$3,090.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$309.03
Typical High
$1,000.00
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$4,570.88
Typical High
$7,079.46
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$616.60
Typical High
$1,318.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,047.13
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$478.63
Typical High
$891.25
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$616.60
Typical High
$3,981.07
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$616.60
Typical High
$1,000.00
Medica
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$630.96
Typical High
$5,248.07
Medica
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$575.44
Typical High
$1,584.89
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$616.60
Network Health
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$3,890.45
Typical High
$4,570.88
Network Health
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$660.69
Typical High
$1,000.00
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$371.54
Typical High
$912.01
Quartz
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$676.08
Typical High
$1,202.26
Quartz
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$4,365.16
Typical High
$6,309.57
Quartz
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$398.11
Typical High
$2,454.71
Security Health
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$645.65
Security Health
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$912.01
Typical High
$1,445.44
United
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$3,630.78
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$436.52
Typical High
$1,096.48