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Restorigin

Minnesota rates for HCPCS Q4191

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

Rates data updated July 2026.

Facilitymedian $1,514 · 10th–90th $257$3,1620%10%10th90th$1,514Professionalmedian $186 · 10th–90th $107$9550%20%10th90th$186$0.2$2.0$20.0$200.0$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
$724.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$933.25
Typical High
$1,513.56
BCBS
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$125.89
Typical High
$794.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$2,511.89
Typical High
$3,467.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,047.13
Typical High
$1,230.27
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$2,454.71
Typical High
$3,548.13
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$1,023.29
Medica
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$1,479.11
Medica
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$1,023.29
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$1,071.52