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DermACELL, DermACELL AWM or DermACELL AWM Porous

Mississippi 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?

$126

Typical negotiated rate. In Mississippi, October 2026.

Insurers have agreed to pay about $126 for this service. The price depends on where it is billed: about $126 from a physician practice, and about $107 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$126$107 to $126
FacilityA hospital or hospital-owned outpatient department$107$97.72 to $141

How much rates vary

Facilitymedian $107 · 10th to 90th $98 to $166Professionalmedian $126 · 10th to 90th $25 to $145
$10$20$50$100$200facility $107professional $126

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
$100.00
Median
$100.00
Typical High
$144.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$144.54
Typical High
$144.54
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$50.12
Median
$72.44
Typical High
$72.44
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$19.95
Median
$28.84
Typical High
$28.84
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$14.79
Median
$21.88
Typical High
$21.88
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$10.00
Median
$14.45
Typical High
$14.45
BCBS Mississippi
Setting
Facility
Modifier
None
Typical Low
$97.72
Median
$97.72
Typical High
$107.15
BCBS Mississippi
Setting
Professional
Modifier
None
Typical Low
$5.37
Median
$5.37
Typical High
$5.37
Cigna
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$141.25
Typical High
$288.40
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Molina
Setting
Professional
Modifier
None
Typical Low
$21.38
Median
$38.02
Typical High
$50.12
United
Setting
Professional
Modifier
None
Typical Low
$109.65
Median
$125.89
Typical High
$125.89

Where Mississippi 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.

Mississippi· 14th of 51

$126

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.