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Dermagraft

Missouri rates for HCPCS Q4106

Dermagraft, per sq cm

Rates data updated October 2026.

How much rates vary

Facilitymedian $50 · 10th to 90th $28 to $151Professionalmedian $51 · 10th to 90th $50 to $1,820
$50$100$200$500$1Kfacility $50professional $51

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
BCBS Kansas City
Setting
Professional
Modifier
None
Typical Low
$61.66
Median
$66.07
Typical High
$87.10
Medica
Setting
Facility
Modifier
None
Typical Low
$28.18
Median
$50.12
Typical High
$151.36
Medica
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$51.29
Typical High
$1,819.70