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MemoDerm, DermaSpan, TranZgraft or InteguPly

Iowa rates for HCPCS Q4126

MemoDerm, DermaSpan, TranZgraft or InteguPly, per sq cm (add-on, list separately in addition to primary procedure)

Rates data updated July 2026.

How much does MemoDerm, DermaSpan, TranZgraft or InteguPly cost?

$97.72

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $97.72 for this service. The price depends on where it is billed: about $97.72 from a physician practice, and about $63.10 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 7 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$97.72$63.10 to $97.72
FacilityA hospital or hospital-owned outpatient department$63.10$63.10 to $97.72

How much rates vary

Facilitymedian $63 · 10th to 90th $63 to $98Professionalmedian $98 · 10th to 90th $63 to $126
$100$200facility $63professional $98

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
$97.72
Median
$97.72
Typical High
$97.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$97.72
Typical High
$102.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$245.47
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$81.28
Typical High
$107.15
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$69.18
Typical High
$151.36
Medica
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$93.33
Typical High
$154.88
Medica
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$107.15
Midlands
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$75.86
Typical High
$109.65
Midlands
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$239.88
Typical High
$302.00
Midlands
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$109.65
Typical High
$109.65
United
Setting
Facility
Modifier
Global
Typical Low
$0.13
Median
$114.82
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$125.89
Typical High
$134.90
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$63.10
Typical High
$63.10

Where Iowa sits

The same service costs 2.0 times more in Alaska than in Arkansas. 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.

Iowa· 3rd of 51

$97.72

AK $126AR $63.10

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.