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Nebraska rates for HCPCS C5276

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; each additional 25 sq cm wound surface area, or part thereof (list separately in addition to code for primary procedure)

Rates data updated July 2026.

How much rates vary

Facilitymedian $1,549 · 10th to 90th $1,148 to $4,365
$2.0Kfacility $1,549

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,778.28
Typical High
$4,365.16
United
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,548.82
Typical High
$1,548.82