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

Missouri 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 $550 · 10th–90th $29$1,4450%10%10th90th$550$50.0$200.0$1.0K$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
Medica
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$181.97
Typical High
$1,348.96
United
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$707.95
Typical High
$1,445.44