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DermACELL, DermACELL AWM or DermACELL AWM Porous

Maryland 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 October 2026.

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

$102

Typical negotiated rate. In Maryland, October 2026.

Insurers have agreed to pay about $102 for this service. Most negotiated rates run $95.50 to $126.

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.

How much rates vary

Facilitymedian $141 · 10th to 90th $120 to $224Professionalmedian $102 · 10th to 90th $95 to $126
$100$200facility $141professional $102

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$20.42
Median
$20.42
Typical High
$20.42
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$15.49
Median
$15.49
Typical High
$15.49
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$10.23
Median
$10.23
Typical High
$10.23
CareFirst
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Cigna
Setting
Facility
Modifier
None
Typical Low
$120.23
Median
$141.25
Typical High
$223.87
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$109.65
Median
$141.25
Typical High
$204.17
United
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$125.89
Typical High
$131.83
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$186.21
Typical High
$218.78

Where Maryland sits

The same service costs 4.4 times more in North Dakota than in Kentucky. 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.

Maryland· 47th of 51

$102

ND $182KY $41.69

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.