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AlloSkin RT

Alaska rates for HCPCS Q4123

AlloSkin RT, per sq cm (add-on, list separately in addition to primary procedure)

Rates data updated October 2026.

How much does AlloSkin RT cost?

$132

Typical negotiated rate. In Alaska, October 2026.

Insurers have agreed to pay about $132 for this service. The price depends on where it is billed: about $132 from a physician practice, and about $209 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$132$132 to $191
FacilityA hospital or hospital-owned outpatient department$209$145 to $316

How much rates vary

Facilitymedian $209 · 10th to 90th $71 to $550Professionalmedian $132 · 10th to 90th $89 to $316
$50$100$200$500$1Kfacility $209professional $132

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
Aetna
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$131.83
Typical High
$131.83
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$37.15
Median
$66.07
Typical High
$66.07
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$14.79
Median
$26.92
Typical High
$26.92
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$10.96
Median
$19.95
Typical High
$19.95
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$7.41
Median
$13.18
Typical High
$13.18
Cigna
Setting
Facility
Modifier
None
Typical Low
$186.21
Median
$316.23
Typical High
$933.25
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Moda Health
Setting
Facility
Modifier
None
Typical Low
$70.79
Median
$131.83
Typical High
$190.55
Moda Health
Setting
Professional
Modifier
None
Typical Low
$131.83
Median
$131.83
Typical High
$416.87
Moda Health
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Moda Health
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$26.92
Median
$26.92
Typical High
$26.92
Moda Health
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$19.95
Median
$19.95
Typical High
$19.95
Moda Health
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$13.18
Median
$13.18
Typical High
$13.18
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$42.66
Median
$144.54
Typical High
$229.09
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$104.71
Typical High
$125.89
Providence
Setting
Facility
Modifier
None
Typical Low
$128.82
Median
$302.00
Typical High
$933.25
Providence
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$83.18
Typical High
$125.89
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$190.55
Typical High
$346.74

Where Alaska sits

The same service costs 2.0 times more in North Dakota than in Maryland. 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.

Alaska· 2nd of 51

$132

ND $141MD $70.79

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.