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Dermagraft

South Carolina rates for HCPCS Q4106

Dermagraft, per sq cm

Rates data updated October 2026.

How much rates vary

Professionalmedian $38 · 10th to 90th $19 to $51
$20$50professional $38

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
Medcost
Setting
Professional
Modifier
None (both parts)
Typical Low
$19.50
Median
$38.02
Typical High
$51.29
Medcost
Setting
Professional
Modifier
26 · Professional part
Typical Low
$11.48
Median
$15.49
Typical High
$19.50
Medcost
Setting
Professional
Modifier
50 · Both sides
Typical Low
$36.31
Median
$57.54
Typical High
$74.13
Medcost
Setting
Professional
Modifier
51 · Multiple procedures
Typical Low
$12.30
Median
$19.05
Typical High
$24.55
Medcost
Setting
Professional
Modifier
80 · Assistant surgeon
Typical Low
$4.90
Median
$7.76
Typical High
$9.77
Medcost
Setting
Professional
Modifier
81 · Minimal assistant surgeon
Typical Low
$3.39
Median
$5.37
Typical High
$6.92
Medcost
Setting
Professional
Modifier
82 · Assistant surgeon, no resident
Typical Low
$3.39
Median
$5.37
Typical High
$6.92
Medcost
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$3.39
Median
$5.37
Typical High
$6.92
Medcost
Setting
Professional
Modifier
TC · Technical part
Typical Low
$16.98
Median
$22.91
Typical High
$29.51