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

Oklahoma 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 October 2026.

How much rates vary

Facilitymedian $562 · 10th to 90th $56 to $1,514

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Medica Setting Facility Modifier None Typical Low $56.23 Median $562.34 Typical High $1,513.56	Facility	None	$56.23	$562.34	$1,513.56