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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 July 2026.

How much does Unlisted Pressure Sore Removal Procedure cost?

$11,482

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $11,482 for this service. The price depends on where it is billed: about $3.72 from a physician practice, and about $12,882 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 8 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$3.72$3.72 to $3.72
FacilityA hospital or hospital-owned outpatient department$12,882$5,754 to $19,953

How much rates vary

Facilitymedian $12,882 · 10th to 90th $2,344 to $26,915Professionalmedian $4 · 10th to 90th $4 to $32
$10$100$1K$10Kfacility $12,882professional $4

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
$14,454.40
Median
$14,454.40
Typical High
$17,782.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.72
Median
$3.72
Typical High
$3.72
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$13,803.84
Typical High
$30,199.52
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$4,365.16
Typical High
$8,128.31
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$2,951.21
Typical High
$4,786.30
Medica
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$3,311.31
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$70.79
Network Health
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$3,019.95
Typical High
$3,235.94
Quartz
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
United
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$2,818.38
Typical High
$4,365.16

Where Wisconsin sits

The same service costs 3090.3 times more in Wisconsin than in Maryland. 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· 1st of 50

$11,482

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.