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

Wisconsin 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 does Skin Substitute, Head/Neck/Genitalia/Hands/Feet, 100 sq cm cost?

$3,090

Typical facility fee. In Wisconsin, July 2026.

Insurers have agreed to pay about $3,090 for this service. Most negotiated rates run $2,754 to $4,266.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,090 · 10th to 90th $1,778 to $5,754Professionalmedian $65 · 10th to 90th $55 to $71
$100$200$500$1K$2K$5Kfacility $3,090professional $65

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. Small sample; interpret with caution. 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
$2,398.83
Median
$3,090.30
Typical High
$5,754.40
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
Medica
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,445.44
Typical High
$2,041.74
Molina
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$64.57
Typical High
$70.79
Network Health
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$933.25
Typical High
$2,344.23
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
United
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,698.24
Typical High
$3,981.07

Where Wisconsin sits

The same service costs 147.9 times more in Indiana than in South Carolina. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Wisconsin· 8th of 40

$3,090

IN $4,467SC $30.20

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.