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Sacral Pressure Sore Removal With Flap

Vermont rates for HCPCS 15934

Surgical removal of a pressure sore over the sacrum, the broad bone at the base of the spine, cutting away the dead and infected tissue down to healthy tissue. The wound is then covered by rotating a flap of neighbouring skin and underlying tissue across it rather than stitching the edges together.

Rates data updated July 2026.

How much does Sacral Pressure Sore Removal With Flap cost?

$1,000

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $1,000 for this service. Most negotiated rates run $977 to $1,000.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $1,000 · 10th to 90th $977 to $1,585
$500$1K$2Kprofessional $1,000

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
$977.24
Median
$977.24
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$1,047.13
Typical High
$2,884.03
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,621.81
Typical High
$1,621.81
United
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,318.26
Typical High
$3,981.07

Where Vermont sits

The same service costs 6.5 times more in California than in Delaware. 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.

Vermont· 45th of 51

$1,000

CA $5,495DE $851

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.