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Sacral Pressure Sore And Bone Removal, Flap

Michigan rates for HCPCS 15935

Surgical removal of a pressure sore over the sacrum, the broad bone at the base of the spine, taking the damaged tissue together with the underlying bony prominence the skin was pressed against. The wound is then closed by rotating a flap of nearby skin and tissue across it.

Facilitymedian $4,898 · 10th–90th $1,349$6,9180%50%10th90th$4,898Professionalmedian $1,175 · 10th–90th $912$1,8200%10%20%10th90th$1,175$500.0$1.0K$2.0K$5.0K$10.0K

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
$1,348.96
Median
$4,897.79
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,122.02
Typical High
$2,041.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,737.80
Typical High
$1,737.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,148.15
Typical High
$4,786.30
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$3,388.44
Typical High
$6,918.31
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,348.96
Typical High
$2,041.74
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,096.48
Typical High
$1,949.84
United
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$5,888.44
Typical High
$10,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,258.93
Typical High
$1,737.80