go back

Restorigin

Missouri rates for HCPCS Q4191

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

Rates data updated July 2026.

Facilitymedian $741 · 10th–90th $102$2,3440%10%20%10th90th$741Professionalmedian $661 · 10th–90th $105$1,3490%20%10th90th$661$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$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