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Apligraf

Virginia 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 Virginia, July 2026.

Insurers have agreed to pay about $33.11 for this service. The price depends on where it is billed: about $33.11 from a physician practice, and about $37.15 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$33.11$30.20 to $53.70
FacilityA hospital or hospital-owned outpatient department$37.15$30.20 to $54.95

How much rates vary

Facilitymedian $37 · 10th to 90th $30 to $126Professionalmedian $33 · 10th to 90th $30 to $126
$50$100$200facility $37professional $33

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
$31.62
Typical High
$70.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$43.65
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$77.62
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$46.77
Cigna
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$251.19
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$173.78
Typical High
$3,890.45
Medcost
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$31.62
Medcost
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$34.67
Typical High
$60.26
Medcost
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$109.65
Sentara
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$36.31
Typical High
$51.29
Sentara
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$36.31
Typical High
$51.29
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$154.88
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$125.89
Typical High
$125.89

Where Virginia 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.

Virginia· 20th 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.