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Derma-Gide

New York 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?

$1,047

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $1,047 for this service. The price depends on where it is billed: about $1,047 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 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$1,047$302 to $1,047
FacilityA hospital or hospital-owned outpatient department$1,047$501 to $1,047

How much rates vary

Facilitymedian $1,047 · 10th to 90th $138 to $1,096Professionalmedian $1,047 · 10th to 90th $135 to $1,096
$200$1K$5K$20Kfacility $1,047professional $1,047

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
$1,071.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,096.48
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$1,047.13
Typical High
$1,047.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$165.96
Typical High
$338.84
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
$1,258.93
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$851.14
Typical High
$891.25
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,096.48
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,096.48
Typical High
$1,096.48
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$1,659.59
Typical High
$1,659.59
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
$302.00
Typical High
$1,122.02
Univera
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,174.90
Univera
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,096.48
Typical High
$1,096.48

Where New York 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.

New York· 24th of 51

$1,047

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.