Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|
Arkansas rates for HCPCS C5277
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 greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children
Rates data updated July 2026.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|