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AlloSkin RT

Indiana rates for HCPCS Q4123

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

Rates data updated July 2026.

How much does AlloSkin RT cost?

$72.44

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $72.44 for this service. The price depends on where it is billed: about $72.44 from a physician practice, and about $200 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 5 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$72.44$70.79 to $83.18
FacilityA hospital or hospital-owned outpatient department$200$95.50 to $380

How much rates vary

Facilitymedian $200 · 10th to 90th $72 to $513Professionalmedian $72 · 10th to 90th $71 to $126
$20.0$50.0$100.0$200.0$500.0facility $200professional $72

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
$70.79
Median
$72.44
Typical High
$72.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$74.13
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$229.09
Typical High
$512.86
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$114.82
CareSource
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$85.11
Typical High
$128.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$346.74
Typical High
$346.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$257.04
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89

Where Indiana sits

The same service costs 1.9 times more in Alaska than in Massachusetts. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Indiana $72.44 · 30th of 51
AK $132MA $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.