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Unlisted Pressure Sore Removal Procedure

New Jersey 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?

$1,698

Typical facility fee. In New Jersey, October 2026.

Insurers have agreed to pay about $1,698 for this service. Most negotiated rates run $933 to $3,090.

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

Facilitymedian $1,660 · 10th to 90th $589 to $5,623Professionalmedian $10,000 · 10th to 90th $151 to $19,498
$200$500$1K$2K$5K$10Kfacility $1,660professional $10,000

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
$4,466.84
Median
$6,918.31
Typical High
$12,882.50
Aetna
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$10,000.00
Typical High
$19,498.45
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,023.29
Median
$2,137.96
Typical High
$2,818.38
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$549.54
Median
$1,023.29
Typical High
$3,019.95
United
Setting
Facility
Modifier
None
Typical Low
$537.03
Median
$1,548.82
Typical High
$3,981.07

Where New Jersey 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.

New Jersey· 11th of 51

$1,698

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.