go back

Alaska rates for HCPCS Q4111

GammaGraft, per sq cm (add-on, list separately in addition to primary procedure)

Facilitymedian $11 · 10th–90th $8$1450%20%10th90th$11Professionalmedian $8 · 10th–90th $7$3020%20%40%10th90th$8$10.0$50.0$200.0$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
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $19.50
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$144.54 / $144.54 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $125.89 / $125.89
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $9.77 / $20.89
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $295.12 / $489.78
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $21.38 / $3,467.37
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $7.59 / $7.59
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $10.23 / $144.54
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $60.26 / $125.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $107.15 / $316.23