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Dermagraft

Wisconsin rates for HCPCS Q4106

Dermagraft, per sq cm

Rates data updated July 2026.

How much does Dermagraft cost?

$51.29

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $51.29 for this service. The price depends on where it is billed: about $51.29 from a physician practice, and about $47.86 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$51.29$51.29 to $123
FacilityA hospital or hospital-owned outpatient department$47.86$36.31 to $97.72

How much rates vary

Facilitymedian $48 · 10th to 90th $36 to $129Professionalmedian $51 · 10th to 90th $46 to $138
$50$100$200$500$1Kfacility $48professional $51

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$128.82
Typical High
$204.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$123.03
Typical High
$138.04
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$44.67
Typical High
$61.66
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$63.10
Typical High
$91.20
Medica
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$44.67
Typical High
$75.86
Medica
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$1,819.70
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$35.48
Typical High
$70.79
Network Health
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
Network Health
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$79.43
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$44.67
Typical High
$61.66
Quartz
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$125.89
Quartz
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$1,819.70
Typical High
$1,819.70
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67

Where Wisconsin sits

The same service costs 67.6 times more in Tennessee than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Wisconsin· 13th of 50

$51.29

TN $1,820KY $26.92

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.