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

Wisconsin 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 does Skin Substitute, Trunk/Arms/Legs, First 100 sq cm cost?

$3,467

Typical facility fee. In Wisconsin, October 2026.

Insurers have agreed to pay about $3,467 for this service. Most negotiated rates run $2,512 to $5,012.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,467 · 10th to 90th $1,549 to $6,166
$500$1K$2K$5Kfacility $3,467

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
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$2,344.23
Median
$4,265.80
Typical High
$6,165.95
Medica
Setting
Facility
Modifier
None
Typical Low
$660.69
Median
$2,570.40
Typical High
$5,623.41
Network Health
Setting
Facility
Modifier
None
Typical Low
$1,548.82
Median
$2,818.38
Typical High
$4,786.30

Where Wisconsin sits

The same service costs 41.7 times more in Indiana than in Illinois. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Wisconsin· 9th of 29

$3,467

IN $5,248IL $126

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.