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Restorigin

New York 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 New York, 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 $661 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 8 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$661 to $724
FacilityA hospital or hospital-owned outpatient department$661$661 to $661

How much rates vary

Facilitymedian $661 · 10th to 90th $138 to $794Professionalmedian $661 · 10th to 90th $132 to $1,479
$100.0$1.0K$10.0Kfacility $661professional $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
$660.69
Typical High
$660.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$691.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$660.69
Typical High
$1,202.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$165.96
Typical High
$1,479.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$138.04
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$537.03
Typical High
$2,238.72
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$1,258.93
Typical High
$1,479.11
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$676.08
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$676.08
Typical High
$676.08
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,380.38
Typical High
$1,445.44
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$138.04
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$794.33
Typical High
$2,137.96
Univera
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$724.44
Univera
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$676.08
Typical High
$676.08

Where New York sits

The same service costs 2.8 times more in Wisconsin than in Minnesota. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New York $661 · 29th of 51
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.