Oklahoma 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 October 2026.

How much rates vary

Facilitymedian $603 · 10th to 90th $89 to $1,549

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 $89.13 Median $602.56 Typical High $1,548.82	Facility	None	$89.13	$602.56	$1,548.82