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Idaho rates for HCPCS Q4106

Dermagraft, per sq cm

Facilitymedian $49 · 10th–90th $39$950%20%10th90th$49Professionalmedian $51 · 10th–90th $35$510%50%10th$51$50.0$100.0

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

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $72.44 / $107.15
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $44.67 / $79.43
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $34.67 / $40.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $51.29 / $51.29