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AlloSkin RT

Pennsylvania 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 Pennsylvania, 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 $72.44 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 8 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 $75.86
FacilityA hospital or hospital-owned outpatient department$72.44$70.79 to $123

How much rates vary

Facilitymedian $72 · 10th to 90th $66 to $468Professionalmedian $71 · 10th to 90th $71 to $126
$100.0$1.0K$10.0Kfacility $72professional $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
$72.44
Typical High
$123.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$75.86
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$66.07
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Cigna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$446.68
Typical High
$478.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$263.03
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$141.25
Typical High
$181.97
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$72.44
Typical High
$123.03
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$75.86
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$26.92
Typical High
$42.66
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$23.99
Typical High
$26.92
United
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$125.89
Typical High
$134.90

Where Pennsylvania 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.

Pennsylvania $70.79 · 49th 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.