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GammaGraft

South Dakota 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 South Dakota, 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 6 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 $9.33
FacilityA hospital or hospital-owned outpatient department$7.94$7.94 to $11.75

How much rates vary

Facilitymedian $8 · 10th to 90th $8 to $12Professionalmedian $8 · 10th to 90th $7 to $120
$10$20$50$100$200facility $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
$7.94
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$9.77
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$11.48
Typical High
$169.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$8.51
Typical High
$9.33
Medica
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$12.02
Typical High
$14.13
Medica
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$32.36
Midlands
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$8.51
Typical High
$9.12
Midlands
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$169.82
Typical High
$204.17
Midlands
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$8.32
Typical High
$15.49
United
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$125.89
Typical High
$239.88
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$7.94
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$7.94

Where South Dakota 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.

South Dakota· 28th 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.