Skin Substitute, Trunk/Arms/Legs, First 100 sq cm

Oklahoma rates for HCPCS C5273

Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children

Rates data updated October 2026.

How much rates vary

Facilitymedian $1,738 · 10th to 90th $468 to $4,266

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Medica Setting Facility Modifier None Typical Low $467.74 Median $1,737.80 Typical High $4,265.80	Facility	None	$467.74	$1,737.80	$4,265.80