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AlloWrap DS or Dry

Alaska rates for HCPCS Q4150

AlloWrap DS or dry, per sq cm (add-on, list separately in addition to primary procedure)

Rates data updated July 2026.

How much does AlloWrap DS or Dry cost?

$145

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $145 for this service. The price depends on where it is billed: about $145 from a physician practice, and about $129 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$145$79.43 to $302
FacilityA hospital or hospital-owned outpatient department$129$77.62 to $178

How much rates vary

Facilitymedian $129 · 10th to 90th $78 to $398Professionalmedian $145 · 10th to 90th $78 to $407
$100$200$500$1K$2Kfacility $129professional $145

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
Professional
Modifier
Global
Typical Low
$77.62
Median
$79.43
Typical High
$144.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$117.49
Typical High
$208.93
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$302.00
Typical High
$512.86
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$3,467.37
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$89.13
Typical High
$89.13
Providence
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$144.54
Typical High
$416.87
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$125.89
Typical High
$125.89
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$190.55
Typical High
$380.19

Where Alaska sits

The same service costs 1.9 times more in Alaska than in Washington, DC. 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.

Alaska· 1st of 51

$145

AK $145DC $77.62

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.