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AlloSkin RT

Virginia 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?

$83.18

Typical negotiated rate. In Virginia, October 2026.

Insurers have agreed to pay about $83.18 for this service. The price depends on where it is billed: about $83.18 from a physician practice, and about $151 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$83.18$75.86 to $126
FacilityA hospital or hospital-owned outpatient department$151$93.33 to $240

How much rates vary

Facilitymedian $151 · 10th to 90th $71 to $316Professionalmedian $83 · 10th to 90th $71 to $126
$20$50$100$200facility $151professional $83

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
$70.79
Median
$70.79
Typical High
$75.86
Aetna
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$75.86
Typical High
$75.86
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$35.48
Median
$37.15
Typical High
$37.15
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$14.45
Median
$15.14
Typical High
$15.14
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$10.72
Median
$11.22
Typical High
$11.22
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$7.08
Median
$7.59
Typical High
$7.59
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
CareFirst
Setting
Professional
Modifier
None
Typical Low
$16.22
Median
$16.22
Typical High
$16.22
Cigna
Setting
Facility
Modifier
None
Typical Low
$138.04
Median
$223.87
Typical High
$331.13
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$134.90
Typical High
$194.98
Medcost
Setting
Facility
Modifier
None
Typical Low
$70.79
Median
$70.79
Typical High
$114.82
Medcost
Setting
Professional
Modifier
None
Typical Low
$14.13
Median
$100.00
Typical High
$109.65
Sentara
Setting
Facility
Modifier
None
Typical Low
$70.79
Median
$93.33
Typical High
$100.00
Sentara
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$70.79
Typical High
$100.00
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$128.82

Where Virginia 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.

Virginia· 37th of 51

$83.18

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.