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Dermagraft

Ohio rates for HCPCS Q4106

Dermagraft, per sq cm

Rates data updated October 2026.

How much rates vary

Facilitymedian $25 · 10th to 90th $25 to $33Professionalmedian $38 · 10th to 90th $25 to $38
facility $25professional $38

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
$25.12
Median
$25.12
Typical High
$33.11
CareSource
Setting
Professional
Modifier
None
Typical Low
$25.12
Median
$25.12
Typical High
$25.12
Medical Mutual of Ohio
Setting
Professional
Modifier
None
Typical Low
$38.02
Median
$38.02
Typical High
$38.02