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

Wisconsin 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 $3,090 · 10th–90th $1,380$5,7540%20%10th90th$3,090Professionalmedian $65 · 10th–90th $55$710%20%10th90th$65$50.0$100.0$200.0$500.0$1.0K$2.0K$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$3,090.30
Typical High
$5,754.40
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$645.65
Medica
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$1,230.27
Typical High
$2,041.74
Molina
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$64.57
Typical High
$70.79
Network Health
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$933.25
Typical High
$2,344.23
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$645.65
United
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,698.24
Typical High
$3,981.07