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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 July 2026.

Facilitymedian $813 · 10th–90th $178$1,9050%20%10th90th$813Professionalmedian $661 · 10th–90th $195$1,2300%20%10th90th$661$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$1,230.27
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
$177.83
Median
$724.44
Typical High
$1,737.80
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$309.03
Typical High
$562.34
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$2,454.71
Typical High
$3,890.45
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,905.46
Typical High
$2,089.30
Providence
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$676.08
Typical High
$1,737.80
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$125.89
Typical High
$1,258.93
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$190.55
Typical High
$630.96