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Apligraf

Pennsylvania 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 Pennsylvania, 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 $47.86 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$47.86$30.20 to $126

How much rates vary

Facilitymedian $48 · 10th to 90th $30 to $1,514Professionalmedian $30 · 10th to 90th $30 to $126
$50$100$200$500$1K$2K$5Kfacility $48professional $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
$33.88
Typical High
$85.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$31.62
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$3,548.13
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
Cigna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$446.68
Typical High
$478.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$3,630.78
Typical High
$3,630.78
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$125.89
Typical High
$199.53
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$316.23
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$45.71
Typical High
$1,513.56
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$33.88
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$93.33
Typical High
$123.03
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.90
Typical High
$35.48
United
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
United
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$125.89
Typical High
$134.90

Where Pennsylvania 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.

Pennsylvania· 47th 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.