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

Indiana 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 $4,467 · 10th–90th $2,754$8,3180%10%10th90th$4,467$1.0K$2.0K$5.0K$10.0K

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
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$4,365.16
Typical High
$8,317.64
United
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$7,413.10
Typical High
$8,128.31