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

Name: Negotiated commercial rates for Skin Substitute, Trunk/Arms/Legs, Add-On 25 sq cm (HCPCS C5272), in New Hampshire
Creator: Tynbil
License: https://tynbil.com/terms

New Hampshire 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.

Rates by insurance carrier

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High