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DermACELL, DermACELL AWM or DermACELL AWM Porous

Washington 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?

$102

Typical negotiated rate. In Washington, July 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 $263 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$102$100 to $126
FacilityA hospital or hospital-owned outpatient department$263$166 to $339

How much rates vary

Facilitymedian $263 · 10th to 90th $102 to $407Professionalmedian $102 · 10th to 90th $98 to $200
$20.0$50.0$100.0$200.0$500.0$1.0Kfacility $263professional $102

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
$102.33
Median
$102.33
Typical High
$309.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$100.00
Typical High
$104.71
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$125.89
Typical High
$125.89
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$141.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$245.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$288.40
Typical High
$436.52
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$275.42
Typical High
$363.08
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$75.86
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$75.86
Typical High
$102.33
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$83.18
Typical High
$125.89
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$125.89
Typical High
$141.25
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$154.88
Typical High
$295.12

Where Washington 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.

Washington $102 · 25th 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.