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Apligraf

Iowa rates for HCPCS Q4101

Apligraf, per sq cm (add-on, list separately in addition to primary procedure)

Rates data updated July 2026.

How much does Apligraf cost?

$45.71

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $45.71 for this service. The price depends on where it is billed: about $54.95 from a physician practice, and about $30.20 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$54.95$30.20 to $54.95
FacilityA hospital or hospital-owned outpatient department$30.20$30.20 to $54.95

How much rates vary

Facilitymedian $30 · 10th to 90th $30 to $55Professionalmedian $55 · 10th to 90th $30 to $126
$50$100$200facility $30professional $55

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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$54.95
Typical High
$54.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$54.95
Typical High
$79.43
Cigna
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$223.87
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$38.90
Typical High
$72.44
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$34.67
Typical High
$75.86
Medica
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$42.66
Typical High
$70.79
Medica
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$69.18
Midlands
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$37.15
Typical High
$45.71
Midlands
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$208.93
Typical High
$269.15
Midlands
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$64.57
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$0.13
Median
$114.82
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$125.89
Typical High
$134.90
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$30.20
Typical High
$30.20

Where Iowa sits

The same service costs 3.9 times more in Oregon than in Colorado. 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.

Iowa· 6th of 51

$45.71

OR $117CO $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.