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Texas rates for HCPCS Q4106

Dermagraft, per sq cm

Facilitymedian $50 · 10th–90th $40–$1260%20%10th90th$50Professionalmedian $51 · 10th–90th $45–$1,8200%20%40%10th90th$51$20.0$50.0$100.0$200.0$500.0$1.0K

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

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $48.98 / $57.54
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$125.89 / $125.89 / $125.89
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $1,819.70 / $1,819.70
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $44.67 / $72.44
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $74.13 / $85.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $83.18 / $83.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $51.29 / $51.29