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Unlisted Pressure Sore Removal Procedure

Florida rates for HCPCS 15999

Surgical removal of a pressure sore (bedsore) and the damaged tissue around it, in a form that has no standard named entry of its own. Pressure sores form where sustained pressure over a bony area breaks down skin and the tissue beneath it. The surgeon submits a written report describing what was performed.

Rates data updated October 2026.

How much does Unlisted Pressure Sore Removal Procedure cost?

$1,122

Typical negotiated rate. In Florida, October 2026.

Insurers have agreed to pay about $1,122 for this service. The price depends on where it is billed: about $661 from a physician practice, and about $2,138 from a hospital or other facility.

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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$661$661 to $1,000
FacilityA hospital or hospital-owned outpatient department$2,138$501 to $3,548

How much rates vary

Facilitymedian $2,138 · 10th to 90th $355 to $6,026Professionalmedian $661 · 10th to 90th $55 to $1,096
$50$200$1K$5Kfacility $2,138professional $661

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$776.25
Median
$4,897.79
Typical High
$12,022.64
Aetna
Setting
Professional
Modifier
None
Typical Low
$645.65
Median
$776.25
Typical High
$12,302.69
AvMed
Setting
Facility
Modifier
None
Typical Low
$741.31
Median
$4,265.80
Typical High
$12,882.50
Cigna
Setting
Facility
Modifier
None
Typical Low
$398.11
Median
$501.19
Typical High
$2,691.53
Florida Blue
Setting
Facility
Modifier
None
Typical Low
$2,041.74
Median
$3,235.94
Typical High
$6,606.93
Molina
Setting
Professional
Modifier
None
Typical Low
$660.69
Median
$851.14
Typical High
$1,096.48
United
Setting
Facility
Modifier
None
Typical Low
$281.84
Median
$660.69
Typical High
$4,073.80
United
Setting
Professional
Modifier
None
Typical Low
$34.67
Median
$39.81
Typical High
$60.26
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$660.69
Median
$660.69
Typical High
$660.69

Where Florida sits

The same service costs 55.0 times more in Oklahoma than in Montana. 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.

Florida· 18th of 51

$1,122

OK $4,365MT $79.43

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.