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Unlisted Pressure Sore Removal Procedure

Wisconsin 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?

$3,020

Typical facility fee. In Wisconsin, October 2026.

Insurers have agreed to pay about $3,020 for this service. Most negotiated rates run $1,413 to $13,804.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,020 · 10th to 90th $759 to $19,953Professionalmedian $3,311 · 10th to 90th $3,311 to $3,311
$500$1K$2K$5K$10K$20K$50Kfacility $3,020professional $3,311

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
$14,454.40
Median
$14,454.40
Typical High
$14,454.40
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$1,202.26
Median
$13,803.84
Typical High
$23,988.33
Cigna
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$1,071.52
Typical High
$3,630.78
DeanCare
Setting
Facility
Modifier
None
Typical Low
$3,801.89
Median
$4,365.16
Typical High
$8,128.31
Medica
Setting
Facility
Modifier
None
Typical Low
$446.68
Median
$1,621.81
Typical High
$3,630.78
Medica
Setting
Professional
Modifier
None
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$3,311.31
Network Health
Setting
Facility
Modifier
None
Typical Low
$1,122.02
Median
$1,819.70
Typical High
$3,235.94
Quartz
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$1,071.52
Typical High
$3,630.78
United
Setting
Facility
Modifier
None
Typical Low
$512.86
Median
$2,041.74
Typical High
$3,548.13

Where Wisconsin 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.

Wisconsin· 3rd of 51

$3,020

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.