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Dermagraft

California rates for HCPCS Q4106

Dermagraft, per sq cm

Rates data updated July 2026.

How much does Dermagraft cost?

$126

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $126 for this service. Most negotiated rates run $48.98 to $1,820.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $126 · 10th to 90th $126 to $126Professionalmedian $117 · 10th to 90th $42 to $1,820
$20.0$50.0$100.0$200.0$500.0$1.0Kfacility $126professional $117

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
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$48.98
Typical High
$57.54
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$53.70
Typical High
$169.82
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,819.70
Molina
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$44.67
Sutter Health Plus
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
United
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$41.69
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$61.66

Where California sits

The same service costs 67.6 times more in Tennessee than in Kentucky. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

California $126 · 3rd of 50
TN $1,820KY $26.92

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.