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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 July 2026.

Facilitymedian $1,950 · 10th–90th $550$3,9810%5%10th90th$1,950Professionalmedian $135 · 10th–90th $79$3800%10%20%10th90th$135$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
BCBS
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$2,511.89
Typical High
$4,570.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$134.90
Typical High
$380.19
Medica
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$954.99
Typical High
$2,041.74
United
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$724.44
Typical High
$954.99