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Unlisted Pressure Sore Removal Procedure

Indiana 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?

$2,818

Typical facility fee. In Indiana, October 2026.

Insurers have agreed to pay about $2,818 for this service. Most negotiated rates run $1,047 to $4,074.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,818 · 10th to 90th $513 to $7,586Professionalmedian $0 · 10th to 90th $0 to $1,380
$0.1$1$10$100$1K$10Kfacility $2,818professional $0

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,380.38
Median
$5,011.87
Typical High
$5,011.87
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,380.38
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$1,258.93
Median
$3,467.37
Typical High
$12,589.25
Cigna
Setting
Facility
Modifier
None
Typical Low
$489.78
Median
$691.83
Typical High
$2,691.53
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$1,023.29
Typical High
$2,290.87
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
None
Typical Low
$0.02
Median
$0.02
Typical High
$0.02
United
Setting
Facility
Modifier
None
Typical Low
$398.11
Median
$1,348.96
Typical High
$3,801.89

Where Indiana 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.

Indiana· 5th of 51

$2,818

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.