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

Nebraska 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 $69 · 10th to 90th $36 to $4,365
$50$100$200$500$1K$2Kfacility $69

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
Medica
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$63.10
Typical High
$4,365.16
United
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,548.82
Typical High
$1,548.82