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

Tennessee 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 $1,047 · 10th to 90th $195 to $1,862
$200$500$1K$2Kfacility $1,047

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
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$1,862.09
United
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$812.83
Typical High
$1,122.02