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

Oklahoma 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 $603 · 10th to 90th $100 to $1,660
$100$200$500$1K$2Kfacility $603

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
$138.04
Median
$630.96
Typical High
$1,659.59
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$426.58
Typical High
$954.99