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Skin Substitute, Trunk/Arms/Legs, First 25 sq cm

Montana rates for HCPCS C5271

Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area

Rates data updated October 2026.

How much rates vary

Facilitymedian $1,820 · 10th to 90th $1,230 to $3,020
$2Kfacility $1,820

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
MountainHealth Co-op
Setting
Facility
Modifier
CSTM-00
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,995.26