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Virginia rates for HCPCS Q4106

Dermagraft, per sq cm

Facilitymedian $83 · 10th–90th $51–$1100%50%10th90th$83Professionalmedian $51 · 10th–90th $45–$560%50%10th90th$51$50.0$100.0

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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $75.86 / $117.49
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $38.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $83.18 / $109.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $51.29 / $51.29