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AlloSkin RT

South Carolina rates for HCPCS Q4123

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

Rates data updated July 2026.

Facilitymedian $95 · 10th–90th $66$1910%20%10th90th$95Professionalmedian $72 · 10th–90th $22$1260%50%10th90th$72$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$100.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$70.79
Typical High
$77.62
BCBS
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$158.49
Typical High
$218.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$117.49
Typical High
$147.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$181.97
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Medcost
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$75.86
Typical High
$151.36
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$125.89
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$125.89
Typical High
$125.89