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Restorigin

Iowa 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 $661$8510%50%90th$661Professionalmedian $661 · 10th–90th $126$6,9180%50%10th90th$661$0.2$1.0$5.0$20.0$100.0$500.0$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. 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
$6,918.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$245.47
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$954.99
Typical High
$1,202.26
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$870.96
Typical High
$1,659.59
Medica
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,122.02
Typical High
$3,467.37
Medica
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$1,737.80
Midlands
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$1,122.02
Typical High
$2,187.76
Midlands
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$239.88
Typical High
$302.00
Midlands
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$1,513.56
United
Setting
Facility
Modifier
Global
Typical Low
$0.13
Median
$114.82
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$162.18
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$660.69
Typical High
$660.69