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AlloWrap DS or Dry

Minnesota 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?

$107

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $107 for this service. The price depends on where it is billed: about $105 from a physician practice, and about $209 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$105$79.43 to $126
FacilityA hospital or hospital-owned outpatient department$209$110 to $257

How much rates vary

Facilitymedian $209 · 10th to 90th $83 to $275Professionalmedian $105 · 10th to 90th $71 to $126
$100$200$500facility $209professional $105

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
$77.62
Median
$77.62
Typical High
$77.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$85.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$128.82
Typical High
$257.04
BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$107.15
Typical High
$125.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$223.87
Typical High
$309.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$100.00
Typical High
$107.15
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$218.78
Typical High
$316.23
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$114.82
Medica
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$144.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$112.20
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$125.89
Typical High
$245.47

Where Minnesota 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.

Minnesota· 3rd of 51

$107

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.