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AlloSkin RT

Michigan 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?

$74.13

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $74.13 for this service. The price depends on where it is billed: about $74.13 from a physician practice, and about $135 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$74.13$74.13 to $120
FacilityA hospital or hospital-owned outpatient department$135$79.43 to $135

How much rates vary

Facilitymedian $135 · 10th to 90th $74 to $209Professionalmedian $74 · 10th to 90th $20 to $126
$20$50$100$200facility $135professional $74

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
$74.13
Median
$74.13
Typical High
$74.13
Aetna
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$14.79
Median
$14.79
Typical High
$14.79
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$10.96
Median
$10.96
Typical High
$11.22
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$7.41
Median
$7.41
Typical High
$7.41
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$20.42
Median
$112.20
Typical High
$120.23
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$79.43
Median
$134.90
Typical High
$208.93
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$74.13
Typical High
$95.50
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$14.79
Median
$14.79
Typical High
$14.79
Health Alliance Plan
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$10.96
Median
$10.96
Typical High
$10.96
Health Alliance Plan
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$7.41
Median
$7.41
Typical High
$7.41
Priority Health
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$134.90

Where Michigan 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.

Michigan· 42nd of 51

$74.13

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.