go back

Apligraf

Maine 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 Maine, 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 $95.50 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 6 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 $31.62
FacilityA hospital or hospital-owned outpatient department$95.50$95.50 to $4,169

How much rates vary

Facilitymedian $95 · 10th to 90th $74 to $4,169Professionalmedian $30 · 10th to 90th $30 to $83
$50$100$200$500$1K$2Kfacility $95professional $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
$74.13
Median
$95.50
Typical High
$4,168.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$31.62
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$46.77
Typical High
$46.77
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$363.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$36.31
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$95.50
Typical High
$4,168.69
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$34.67
Typical High
$125.89

Where Maine 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.

Maine· 42nd 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.