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DermACELL, DermACELL AWM or DermACELL AWM Porous

New Jersey 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 New Jersey, October 2026.

Insurers have agreed to pay about $102 for this service. The price depends on where it is billed: about $102 from a physician practice, and about $282 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$102$102 to $126
FacilityA hospital or hospital-owned outpatient department$282$158 to $15,488

How much rates vary

Facilitymedian $282 · 10th to 90th $126 to $21,878Professionalmedian $102 · 10th to 90th $102 to $126
$100$500$2K$10Kfacility $282professional $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
Facility
Modifier
None
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Aetna
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$102.33
Typical High
$102.33
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$50.12
Median
$51.29
Typical High
$51.29
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$19.95
Median
$20.42
Typical High
$20.42
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$15.14
Median
$15.49
Typical High
$15.49
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$10.00
Median
$10.23
Typical High
$10.23
Cigna
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$169.82
Typical High
$257.04
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$102.33
Typical High
$162.18
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$275.42
Median
$14,454.40
Typical High
$27,542.29
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$102.33
Median
$102.33
Typical High
$125.89
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$141.25

Where New Jersey 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.

New Jersey· 46th 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.