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Derma-Gide

Virginia 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?

$1,023

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $1,023 for this service. The price depends on where it is billed: about $1,047 from a physician practice, and about $209 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$759 to $1,047
FacilityA hospital or hospital-owned outpatient department$209$126 to $1,047

How much rates vary

Facilitymedian $209 · 10th to 90th $126 to $1,259Professionalmedian $1,047 · 10th to 90th $126 to $1,096
$100$200$500$1K$2K$5K$10Kfacility $209professional $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
$1,096.48
Typical High
$1,096.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,047.13
Typical High
$1,096.48
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$1,412.54
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$1,348.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$251.19
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$173.78
Typical High
$891.25
Medcost
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$1,047.13
Typical High
$1,778.28
Medcost
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$1,000.00
Typical High
$1,000.00
Sentara
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$138.04
Typical High
$524.81
Sentara
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$138.04
Typical High
$524.81
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$208.93
Typical High
$478.63
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$134.90

Where Virginia 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.

Virginia· 43rd of 51

$1,023

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.