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AlloSkin RT

New Hampshire 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?

$70.79

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $70.79 for this service. The price depends on where it is billed: about $70.79 from a physician practice, and about $85.11 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 6 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$70.79$70.79 to $89.13
FacilityA hospital or hospital-owned outpatient department$85.11$70.79 to $145

How much rates vary

Facilitymedian $85 · 10th to 90th $71 to $295Professionalmedian $71 · 10th to 90th $71 to $126
$20.0$50.0$100.0$200.0$500.0facility $85professional $71

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
$70.79
Typical High
$131.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$85.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$100.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$251.19
Typical High
$338.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$125.89
United
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$70.79
Typical High
$125.89
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$141.25

Where New Hampshire 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.

New Hampshire $70.79 · 33rd 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.