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DermACELL, DermACELL AWM or DermACELL AWM Porous

New York 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?

$110

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $110 for this service. The price depends on where it is billed: about $110 from a physician practice, and about $117 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 9 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$110$97.72 to $110
FacilityA hospital or hospital-owned outpatient department$117$97.72 to $145

How much rates vary

Facilitymedian $117 · 10th to 90th $87 to $537Professionalmedian $110 · 10th to 90th $93 to $126
$100.0$1.0K$10.0Kfacility $117professional $110

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
Facility
Modifier
Global
Typical Low
$83.18
Median
$97.72
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$100.00
Typical High
$102.33
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$165.96
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$131.83
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$158.49
Typical High
$338.84
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$162.18
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$117.49
Typical High
$117.49
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$117.49
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,128.31
Median
$8,128.31
Typical High
$8,128.31
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$50,118.72
Typical High
$75,857.76
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$138.04
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$109.65
Typical High
$125.89
Univera
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$117.49
Typical High
$117.49
Univera
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$117.49

Where New York 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.

New York $110 · 10th 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.