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Dermagraft

Wisconsin rates for HCPCS Q4106

Dermagraft, per sq cm

Rates data updated July 2026.

Facilitymedian $48 · 10th–90th $36$1290%10%20%10th90th$48Professionalmedian $51 · 10th–90th $46$1380%20%40%10th90th$51$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
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