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Dermagraft

Washington rates for HCPCS Q4106

Dermagraft, per sq cm

Rates data updated July 2026.

Facilitymedian $41 · 10th–90th $33$560%10%20%10th90th$41Professionalmedian $33 · 10th–90th $32$650%50%10th90th$33$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
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$75.86
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$41.69
Typical High
$56.23
United
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$51.29
Typical High
$51.29
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$46.77
Typical High
$46.77