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Skin Substitute, Head/Neck/Genitalia/Hands/Feet, 100 sq cm

Indiana 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.

How much rates vary

Facilitymedian $4,467 · 10th to 90th $2,754 to $8,318
$1K$2K$5K$10Kfacility $4,467

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$4,365.16
Typical High
$8,317.64
United
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$7,413.10
Typical High
$8,128.31