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Dermagraft

Wisconsin rates for HCPCS Q4106

Dermagraft, per sq cm

Rates data updated October 2026.

How much does Dermagraft cost?

$51.29

Typical negotiated rate. In Wisconsin, October 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 $61.66 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$51.29$51.29 to $69.18
FacilityA hospital or hospital-owned outpatient department$61.66$44.67 to $126

How much rates vary

Facilitymedian $62 · 10th to 90th $36 to $145Professionalmedian $51 · 10th to 90th $47 to $1,820
$50$100$200$500$1Kfacility $62professional $51

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Facility
Modifier
None
Typical Low
$109.65
Median
$125.89
Typical High
$186.21
Cigna
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$57.54
Typical High
$138.04
DeanCare
Setting
Facility
Modifier
None
Typical Low
$30.20
Median
$44.67
Typical High
$61.66
DeanCare
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$57.54
Typical High
$87.10
Medica
Setting
Facility
Modifier
None
Typical Low
$30.20
Median
$44.67
Typical High
$61.66
Medica
Setting
Professional
Modifier
None
Typical Low
$51.29
Median
$51.29
Typical High
$1,819.70
Network Health
Setting
Facility
Modifier
None
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
Network Health
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$45.71
Typical High
$79.43
Prevea360
Setting
Facility
Modifier
None
Typical Low
$30.20
Median
$44.67
Typical High
$61.66

Where Wisconsin sits

The same service costs 112.2 times more in Texas than in Hawaii. 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· 18th of 43

$51.29

TX $1,820HI $16.22

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.