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Dermagraft

Missouri rates for HCPCS Q4106

Dermagraft, per sq cm

Rates data updated July 2026.

Facilitymedian $49 · 10th–90th $36$930%20%10th90th$49Professionalmedian $51 · 10th–90th $45$1,8200%50%10th90th$51$20.0$50.0$100.0$200.0$500.0$1.0K

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

Insurance Carrier
BCBS
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$87.10
Typical High
$87.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$57.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$48.98
Typical High
$93.33
Medica
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$51.29
Typical High
$1,819.70
United
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$20.42
Typical High
$51.29
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$46.77