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Unlisted Pressure Sore Removal Procedure

Virginia 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?

$1,950

Typical negotiated rate. In Virginia, October 2026.

Insurers have agreed to pay about $1,950 for this service. The price depends on where it is billed: about $3,548 from a physician practice, and about $1,622 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3,548$2,818 to $7,079
FacilityA hospital or hospital-owned outpatient department$1,622$776 to $3,802

How much rates vary

Facilitymedian $1,622 · 10th to 90th $447 to $8,318Professionalmedian $3,548 · 10th to 90th $1,738 to $10,233
$200$500$1K$2K$5K$10Kfacility $1,622professional $3,548

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
$3,801.89
Median
$5,623.41
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$3,235.94
Median
$4,365.16
Typical High
$8,317.64
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$7,079.46
Median
$8,128.31
Typical High
$12,882.50
CareFirst
Setting
Professional
Modifier
None
Typical Low
$354.81
Median
$3,311.31
Typical High
$4,365.16
Cigna
Setting
Facility
Modifier
None
Typical Low
$501.19
Median
$794.33
Typical High
$5,495.41
Sentara
Setting
Facility
Modifier
None
Typical Low
$562.34
Median
$1,380.38
Typical High
$10,232.93
Sentara
Setting
Professional
Modifier
None
Typical Low
$1,737.80
Median
$2,951.21
Typical High
$11,481.54
United
Setting
Facility
Modifier
None
Typical Low
$323.59
Median
$1,445.44
Typical High
$3,630.78

Where Virginia 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.

Virginia· 9th of 51

$1,950

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.