go back

Derma-Gide

Missouri rates for HCPCS Q4203

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

Rates data updated July 2026.

How much does Derma-Gide cost?

$871

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $871 for this service. The price depends on where it is billed: about $813 from a physician practice, and about $1,047 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$813$126 to $1,047
FacilityA hospital or hospital-owned outpatient department$1,047$339 to $1,096

How much rates vary

Facilitymedian $1,047 · 10th to 90th $102 to $1,380Professionalmedian $813 · 10th to 90th $98 to $1,096
$100$200$500$1K$2Kfacility $1,047professional $813

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
$1,047.13
Median
$1,047.13
Typical High
$1,096.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,258.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$109.65
Typical High
$144.54
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
$851.14
Median
$1,023.29
Typical High
$2,041.74
Medica
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$870.96
Typical High
$1,318.26
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$125.89
Typical High
$1,348.96
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$125.89
Typical High
$158.49

Where Missouri sits

The same service costs 5.0 times more in California 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· 46th of 51

$871

CA $1,072MN $214

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.