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Apligraf

Ohio 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?

$33.11

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $33.11 for this service. The price depends on where it is billed: about $31.62 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 8 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$31.62$30.20 to $51.29
FacilityA hospital or hospital-owned outpatient department$54.95$47.86 to $75.86

How much rates vary

Facilitymedian $55 · 10th to 90th $32 to $115Professionalmedian $32 · 10th to 90th $30 to $126
$50$100$200facility $55professional $32

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
$32.36
Median
$54.95
Typical High
$83.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$34.67
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$38.90
Typical High
$95.50
CareSource
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
CareSource
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$40.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$269.15
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$239.88
Typical High
$371.54
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$125.89
Typical High
$125.89
Molina
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$93.33
Typical High
$131.83
SummaCare
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$141.25
Typical High
$158.49
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$4,265.80
Typical High
$8,912.51
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$125.89
Typical High
$125.89

Where Ohio 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.

Ohio· 17th of 51

$33.11

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.