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Dermagraft

Oregon rates for HCPCS Q4106

Dermagraft, per sq cm

Rates data updated July 2026.

Facilitymedian $35 · 10th–90th $35$350%50%100%$35Professionalmedian $72 · 10th–90th $49$1780%10%10th90th$72$50.0$100.0$200.0

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

Insurance Carrier
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$57.54
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$151.36
Typical High
$190.55
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
Providence
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$54.95
Typical High
$117.49