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 October 2026.

How much does Unlisted Pressure Sore Removal Procedure cost?

$437

Typical facility fee. In West Virginia, October 2026.

Insurers have agreed to pay about $437 for this service. Most negotiated rates run $234 to $741.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $437 · 10th to 90th $35 to $1,413

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54	Facility	None	$1,412.54	$1,412.54	$1,412.54
Cigna Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67	Facility	None	$34.67	$34.67	$34.67
United Setting Facility Modifier None Typical Low $151.36 Median $436.52 Typical High $1,995.26	Facility	None	$151.36	$436.52	$1,995.26

Where West 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.

West Virginia· 49th of 51

$437

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.