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Apligraf

Massachusetts 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?

$30.20

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $30.20 for this service. The price depends on where it is billed: about $30.20 from a physician practice, and about $54.95 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 9 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$30.20$30.20 to $33.11
FacilityA hospital or hospital-owned outpatient department$54.95$51.29 to $100

How much rates vary

Facilitymedian $55 · 10th to 90th $30 to $275Professionalmedian $30 · 10th to 90th $30 to $126
$50$100$200$500$1K$2K$5Kfacility $55professional $30

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
$30.20
Typical High
$4,677.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$87.10
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$30.90
Typical High
$707.95
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$125.89
Typical High
$194.98
BCBS
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$102.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$229.09
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$173.78
Typical High
$6,918.31
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$50.12
Health New England
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$3,235.94
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$30.90
Typical High
$707.95
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$125.89
Typical High
$194.98
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$208.93
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$33.11
Typical High
$125.89

Where Massachusetts 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.

Massachusetts· 45th of 51

$30.20

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.