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Restorigin

California rates for HCPCS Q4191

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

Rates data updated July 2026.

Facilitymedian $832 · 10th–90th $661$2,0890%50%10th90th$832Professionalmedian $661 · 10th–90th $126$2,8840%50%10th90th$661$0.1$2.0$50.0$1.0K$20.0K$500.0K

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
Facility
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$6,918.31
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$831.76
Typical High
$2,089.30
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$691.83
Typical High
$1,905.46
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$1,071.52
Typical High
$2,137.96
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$3,467.37
Cigna
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$218.78
Typical High
$295.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$154.88
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,023.29
Typical High
$1,230.27
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$173.78
Typical High
$269.15
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$2,884.03
Median
$3,630.78
Typical High
$3,630.78
Providence
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$660.69
Typical High
$1,258.93
Providence
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$1,258.93
The Alliance
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$1,023.29
Typical High
$1,513.56
United
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$41.69
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$316.23