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Dermagraft

Indiana rates for HCPCS Q4106

Dermagraft, per sq cm

Rates data updated October 2026.

How much does Dermagraft cost?

$40.74

Typical facility fee. In Indiana, October 2026.

Insurers have agreed to pay about $40.74 for this service. Most negotiated rates run $34.67 to $61.66.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $95 · 10th to 90th $26 to $2,188Professionalmedian $37 · 10th to 90th $33 to $52
$50$100$200$500$1K$2Kfacility $95professional $37

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
CareSource
Setting
Facility
Modifier
None
Typical Low
$24.55
Median
$25.70
Typical High
$45.71
Cigna
Setting
Professional
Modifier
None
Typical Low
$31.62
Median
$36.31
Typical High
$52.48
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$30.20
Median
$912.01
Typical High
$2,187.76
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$40.74
Typical High
$61.66

Where Indiana sits

The same service costs 112.2 times more in Texas than in Hawaii. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Indiana· 34th of 43

$40.74

TX $1,820HI $16.22

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.