go back

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

Iowa 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 $1,288 · 10th–90th $37$1,9950%10%10th90th$1,288Professionalmedian $501 · 10th–90th $151$5010%50%10th$501$50.0$100.0$200.0$500.0$1.0K$2.0K

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

Insurance Carrier
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$501.19
Typical High
$501.19
Medica
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$1,288.25
Typical High
$1,995.26
United
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,548.82