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Dermagraft

Montana rates for HCPCS Q4106

Dermagraft, per sq cm

Rates data updated July 2026.

How much rates vary

Facilitymedian $78 · 10th to 90th $45 to $85Professionalmedian $78 · 10th to 90th $45 to $85
$50.0$100.0facility $78professional $78

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$77.62
Typical High
$85.11
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$77.62
Typical High
$85.11