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Unlisted Pressure Sore Removal Procedure

West 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 July 2026.

How much does Unlisted Pressure Sore Removal Procedure cost?

$1,413

Typical facility fee. In West Virginia, July 2026.

Insurers have agreed to pay about $1,413 for this service. Most negotiated rates run $1,413 to $1,995.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 $1,413 · 10th to 90th $692 to $2,089Professionalmedian $72,444 · 10th to 90th $72,444 to $72,444
$100.0$1.0K$10.0K$100.0Kfacility $1,413professional $72,444

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. 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
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,412.54
CareSource
Setting
Facility
Modifier
Global
Typical Low
$81,283.05
Median
$81,283.05
Typical High
$81,283.05
CareSource
Setting
Professional
Modifier
Global
Typical Low
$72,443.60
Median
$72,443.60
Typical High
$72,443.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
United
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$1,230.27
Typical High
$2,089.30

Where West Virginia sits

The same service costs 3090.3 times more in Wisconsin than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

West Virginia $1,413 · 42nd of 50
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.