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Restorigin

Alaska rates for HCPCS Q4191

Restorigin, per sq cm (add-on, list separately in addition to primary procedure)

Rates data updated October 2026.

How much does Restorigin cost?

$1,230

Typical negotiated rate. In Alaska, October 2026.

Insurers have agreed to pay about $1,230 for this service. The price depends on where it is billed: about $1,023 from a physician practice, and about $1,738 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,023$200 to $1,230
FacilityA hospital or hospital-owned outpatient department$1,738$661 to $2,818

How much rates vary

Facilitymedian $1,738 · 10th to 90th $186 to $3,467Professionalmedian $1,023 · 10th to 90th $191 to $1,230
$100$200$500$1K$2Kfacility $1,738professional $1,023

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,230.27
Aetna
Setting
Professional
Modifier
None
Typical Low
$676.08
Median
$1,230.27
Typical High
$1,230.27
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$338.84
Median
$602.56
Typical High
$602.56
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$134.90
Median
$245.47
Typical High
$245.47
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$102.33
Median
$181.97
Typical High
$181.97
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$67.61
Median
$123.03
Typical High
$123.03
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Moda Health
Setting
Facility
Modifier
None
Typical Low
$660.69
Median
$1,230.27
Typical High
$1,737.80
Moda Health
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$812.83
Typical High
$1,230.27
Moda Health
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
Moda Health
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Moda Health
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Moda Health
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$2,454.71
Median
$2,818.38
Typical High
$3,890.45
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$1,659.59
Median
$1,737.80
Typical High
$2,089.30
Providence
Setting
Facility
Modifier
None
Typical Low
$128.82
Median
$128.82
Typical High
$186.21
Providence
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$125.89
Typical High
$1,258.93
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$190.55
Typical High
$354.81

Where Alaska sits

The same service costs 12.6 times more in Wyoming than in North Carolina. 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· 2nd of 51

$1,230

WY $1,479NC $117

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.