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GammaGraft

Pennsylvania rates for HCPCS Q4111

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

Rates data updated July 2026.

How much does GammaGraft cost?

$7.94

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $7.94 for this service. The price depends on where it is billed: about $7.94 from a physician practice, and about $7.94 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$7.94$7.94 to $8.32
FacilityA hospital or hospital-owned outpatient department$7.94$7.94 to $22.39

How much rates vary

Facilitymedian $8 · 10th to 90th $8 to $447Professionalmedian $8 · 10th to 90th $8 to $126
$10$100$1K$10Kfacility $8professional $8

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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$13.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$8.32
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$6.76
Median
$7.94
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$7.94
Cigna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$446.68
Typical High
$478.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$8.51
Typical High
$147.91
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$128.82
Typical High
$199.53
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$13.49
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$8.32
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$22.39
Typical High
$28.84
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$7.24
Typical High
$8.13
United
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
United
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$125.89
Typical High
$134.90

Where Pennsylvania sits

The same service costs 5.1 times more in Minnesota than in Massachusetts. 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.

Pennsylvania· 38th of 51

$7.94

MN $40.74MA $7.94

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.