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Restorigin

Michigan 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?

$676

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $676 for this service. The price depends on where it is billed: about $676 from a physician practice, and about $676 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$676$126 to $676
FacilityA hospital or hospital-owned outpatient department$676$135 to $1,778

How much rates vary

Facilitymedian $676 · 10th to 90th $135 to $1,905Professionalmedian $676 · 10th to 90th $120 to $759
$200$500$1Kfacility $676professional $676

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
$676.08
Median
$676.08
Typical High
$676.08
Aetna
Setting
Professional
Modifier
None
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$120.23
Typical High
$120.23
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$199.53
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$134.90
Median
$676.08
Typical High
$1,905.46
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$660.69
Median
$676.08
Typical High
$870.96
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
Health Alliance Plan
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Health Alliance Plan
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$67.61
Median
$67.61
Typical High
$67.61
Priority Health
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$181.97
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$134.90

Where Michigan 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.

Michigan· 10th of 51

$676

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.