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DermACELL, DermACELL AWM or DermACELL AWM Porous

Alaska rates for HCPCS Q4122

DermACELL, DermACELL AWM or DermACELL AWM Porous, per sq cm (add-on, list separately in addition to primary procedure)

Rates data updated July 2026.

How much does DermACELL, DermACELL AWM or DermACELL AWM Porous cost?

$162

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $162 for this service. The price depends on where it is billed: about $162 from a physician practice, and about $145 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$162$100 to $302
FacilityA hospital or hospital-owned outpatient department$145$117 to $178

How much rates vary

Facilitymedian $145 · 10th to 90th $69 to $263Professionalmedian $162 · 10th to 90th $98 to $407
$0.1$1.0$10.0$100.0$1.0Kfacility $145professional $162

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
Professional
Modifier
Global
Typical Low
$97.72
Median
$100.00
Typical High
$162.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$120.23
Typical High
$177.83
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$309.03
Typical High
$512.86
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$407.38
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$131.83
Typical High
$144.54
Providence
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$131.83
Typical High
$302.00
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$125.89
Typical High
$138.04
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$190.55
Typical High
$380.19

Where Alaska sits

The same service costs 3.2 times more in Minnesota than in Kentucky. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Alaska $162 · 2nd of 51
MN $316KY $97.72

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.