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

Name: Negotiated commercial rates for Skin Substitute, Head/Neck/Genitalia/Hands/Feet, 25 sq cm (HCPCS C5275), in Maine
Creator: Tynbil
License: https://tynbil.com/terms

Maine 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.

Rates by insurance carrier

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High