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Dermagraft

Nationwide rates for HCPCS Q4106

Dermagraft, per sq cm

Rates data updated July 2026.

Facilitymedian $78 · 10th–90th $36$1740%20%10th90th$78Professionalmedian $46 · 10th–90th $45$850%50%10th90th$46$0.1$1.0$20.0$500.0$10.0K$200.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
BCBS
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$123.03
Typical High
$331.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$120.23
Typical High
$169.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$53.70
Typical High
$61.66
United
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$51.29
Typical High
$51.29
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$58.88