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Dermagraft

Alaska rates for HCPCS Q4106

Dermagraft, per sq cm

Rates data updated October 2026.

How much rates vary

Facilitymedian $129 · 10th to 90th $126 to $195Professionalmedian $45 · 10th to 90th $45 to $51
$50$100facility $129professional $45

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$128.82
Typical High
$194.98
United
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$44.67
Typical High
$51.29