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Restorigin

Missouri rates for HCPCS Q4191

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

Rates data updated July 2026.

How much does Restorigin cost?

$661

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $661 for this service. The price depends on where it is billed: about $661 from a physician practice, and about $741 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$661$126 to $676
FacilityA hospital or hospital-owned outpatient department$741$372 to $1,738

How much rates vary

Facilitymedian $741 · 10th to 90th $102 to $2,344Professionalmedian $661 · 10th to 90th $105 to $1,349
$100$200$500$1K$2K$5Kfacility $741professional $661

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$676.08
Typical High
$1,819.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$1,230.27
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$120.23
Typical High
$1,621.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$144.54
Typical High
$194.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$239.88
Typical High
$380.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$151.36
Medica
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,023.29
Typical High
$2,089.30
Medica
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$724.44
Typical High
$5,754.40
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$125.89
Typical High
$2,344.23
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$125.89
Typical High
$158.49

Where Missouri sits

The same service costs 2.8 times more in Wisconsin than in Minnesota. 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.

Missouri· 37th of 51

$661

WI $724MN $257

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.