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Skin Substitute, Trunk/Arms/Legs, Add-On 25 sq cm

Indiana rates for HCPCS C5272

Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (list separately in addition to code for primary procedure)

Rates data updated July 2026.

How much rates vary

Facilitymedian $7,413 · 10th to 90th $2,239 to $8,128
$5Kfacility $7,413

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
United
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$7,413.10
Typical High
$8,128.31