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

Missouri 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 $708 · 10th to 90th $245 to $1,950
$100$200$500$1K$2K$5K$10Kfacility $708

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
Medica
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$870.96
Typical High
$1,949.84
United
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$707.95
Typical High
$1,445.44