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Restorigin

Mississippi 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?

$126

Typical negotiated rate. In Mississippi, October 2026.

Insurers have agreed to pay about $126 for this service. Most negotiated rates run $126 to $676.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $145 · 10th to 90th $126 to $676Professionalmedian $126 · 10th to 90th $123 to $794
$50$100$200$500$1Kfacility $145professional $126

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
$794.33
Aetna
Setting
Professional
Modifier
None
Typical Low
$660.69
Median
$794.33
Typical High
$794.33
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$331.13
Median
$389.05
Typical High
$389.05
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$131.83
Median
$158.49
Typical High
$158.49
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$100.00
Median
$117.49
Typical High
$117.49
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$66.07
Median
$79.43
Typical High
$79.43
Cigna
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$134.90
Typical High
$186.21
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Molina
Setting
Professional
Modifier
None
Typical Low
$21.38
Median
$38.02
Typical High
$50.12
United
Setting
Professional
Modifier
None
Typical Low
$109.65
Median
$125.89
Typical High
$128.82

Where Mississippi 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.

Mississippi· 39th of 51

$126

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.