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Restorigin

Washington, DC rates for HCPCS Q4191

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

Rates data updated July 2026.

Facilitymedian $661 · 10th–90th $195$6610%50%10th$661Professionalmedian $661 · 10th–90th $126$6920%50%10th90th$661$100.0$200.0$500.0$1.0K$2.0K

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

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$676.08
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,000.00
Typical High
$2,290.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$263.03
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$162.18
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$1,584.89
Typical High
$3,090.30
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$724.44