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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 July 2026.

How much does Unlisted Pressure Sore Removal Procedure cost?

$3,311

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $3,311 for this service. The price depends on where it is billed: about $1,047 from a physician practice, and about $3,715 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,047$759 to $1,288
FacilityA hospital or hospital-owned outpatient department$3,715$2,455 to $8,128

How much rates vary

Facilitymedian $3,715 · 10th to 90th $1,230 to $11,482Professionalmedian $1,047 · 10th to 90th $646 to $12,303
$50.0$200.0$1.0K$5.0Kfacility $3,715professional $1,047

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
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$6,025.60
Typical High
$12,022.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,230.27
Typical High
$13,182.57
AvMed
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$4,897.79
Typical High
$12,302.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$398.11
Typical High
$10,000.00
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$3,311.31
Typical High
$6,760.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$851.14
Typical High
$1,258.93
United
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$2,570.40
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$39.81
Typical High
$60.26
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$630.96

Where Florida sits

The same service costs 3090.3 times more in Wisconsin than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Florida $3,311 · 25th of 50
WI $11,482MD $3.72

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.