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Restorigin

North Dakota rates for HCPCS Q4191

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

Rates data updated July 2026.

Facilitymedian $661 · 10th–90th $661$1,1750%50%90th$661Professionalmedian $661 · 10th–90th $537$7940%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
$660.69
Typical High
$660.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$1,230.27
BCBS
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$616.60
Typical High
$794.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,737.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$954.99
Typical High
$1,202.26
Medica
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$977.24
Typical High
$1,348.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$933.25
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$398.11