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SurgiGRAFT-DUAL

Alaska rates for HCPCS Q4219

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

Rates data updated July 2026.

How much does SurgiGRAFT-DUAL cost?

$955

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $955 for this service. The price depends on where it is billed: about $537 from a physician practice, and about $1,202 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$537$302 to $1,000
FacilityA hospital or hospital-owned outpatient department$1,202$1,023 to $1,698

How much rates vary

Facilitymedian $1,202 · 10th to 90th $178 to $1,905Professionalmedian $537 · 10th to 90th $195 to $1,202
$200$500$1K$2Kfacility $1,202professional $537

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
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,000.00
Typical High
$1,621.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$1,202.26
Typical High
$1,778.28
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$309.03
Typical High
$512.86
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$2,630.27
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,318.26
Typical High
$1,445.44
Providence
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$1,202.26
Typical High
$1,778.28
Providence
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$1,258.93
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$190.55
Typical High
$389.05

Where Alaska sits

The same service costs 8.1 times more in Rhode Island than in North Carolina. 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.

Alaska· 29th of 51

$955

RI $1,023NC $126

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.