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Skin Substitute, Head/Neck/Genitalia/Hands/Feet, 25 sq cm

Arizona rates for HCPCS C5275

Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area

Rates data updated October 2026.

How much rates vary

Facilitymedian $759 · 10th to 90th $234 to $2,754Professionalmedian $110 · 10th to 90th $79 to $158
$100$200$500$1K$2K$5Kfacility $759professional $110

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
BCBS Arizona
Setting
Facility
Modifier
None
Typical Low
$549.54
Median
$1,318.26
Typical High
$3,467.37
BCBS Arizona
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$109.65
Typical High
$158.49
Medica
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$398.11
Typical High
$1,905.46