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

New Mexico 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 $1,318 · 10th to 90th $229 to $1,445Professionalmedian $60 · 10th to 90th $60 to $85
$100$200$500$1Kfacility $1,318professional $60

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
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$85.11
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$1,318.26
Typical High
$1,445.44