Wisconsin rates for HCPCS C5278

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; each additional 100 sq cm wound surface area, or part thereof, or each additional 1% of body area of infants and children, or part thereof (list separately in addition to code for primary procedure)

Rates data updated October 2026.

How much rates vary

Facilitymedian $1,000 · 10th to 90th $234 to $1,820

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Medica Setting Facility Modifier None Typical Low $204.17 Median $1,000.00 Typical High $1,778.28	Facility	None	$204.17	$1,000.00	$1,778.28
Network Health Setting Facility Modifier None Typical Low $831.76 Median $954.99 Typical High $2,344.23	Facility	None	$831.76	$954.99	$2,344.23