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AlloWrap DS or Dry

New York 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?

$77.62

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $77.62 for this service. The price depends on where it is billed: about $77.62 from a physician practice, and about $81.28 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 8 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$77.62$77.62 to $93.33
FacilityA hospital or hospital-owned outpatient department$81.28$77.62 to $166

How much rates vary

Facilitymedian $81 · 10th to 90th $78 to $295Professionalmedian $78 · 10th to 90th $78 to $135
$100$200$500$1K$2K$5Kfacility $81professional $78

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
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$81.28
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$87.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$165.96
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$151.36
Typical High
$338.84
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$239.88
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$81.28
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$81.28
Typical High
$81.28
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$91.20
Typical High
$109.65
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$138.04
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$91.20
Typical High
$194.98
Univera
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$87.10
Univera
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$81.28
Typical High
$81.28

Where New York 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.

New York· 36th of 51

$77.62

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.