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Indiana rates for HCPCS Q4106

Dermagraft, per sq cm

Facilitymedian $27 · 10th–90th $25–$460%20%40%10th90th$27Professionalmedian $51 · 10th–90th $43–$520%50%10th90th$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
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $26.92 / $45.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $48.98 / $57.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $83.18 / $83.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $51.29 / $52.48