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DermACELL, DermACELL AWM or DermACELL AWM Porous

Michigan 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?

$117

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $117 for this service. The price depends on where it is billed: about $117 from a physician practice, and about $105 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$117$97.72 to $126
FacilityA hospital or hospital-owned outpatient department$105$77.62 to $135

How much rates vary

Facilitymedian $105 · 10th to 90th $78 to $219Professionalmedian $117 · 10th to 90th $22 to $138
$20$50$100$200$500facility $105professional $117

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
Facility
Modifier
None
Typical Low
$97.72
Median
$97.72
Typical High
$102.33
Aetna
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$19.50
Median
$19.50
Typical High
$19.50
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$14.45
Median
$14.45
Typical High
$14.45
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$9.77
Median
$9.77
Typical High
$9.77
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$77.62
Median
$89.13
Typical High
$199.53
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$21.88
Median
$125.89
Typical High
$125.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$147.91
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$109.65
Median
$134.90
Typical High
$346.74
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$117.49
Typical High
$154.88
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$19.50
Median
$19.50
Typical High
$19.50
Health Alliance Plan
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$14.45
Median
$14.45
Typical High
$14.45
Health Alliance Plan
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$9.77
Median
$9.77
Typical High
$9.77
Priority Health
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$134.90

Where Michigan 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.

Michigan· 32nd of 51

$117

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.