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SurgiGRAFT-DUAL

California 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 California, July 2026.

Insurers have agreed to pay about $955 for this service. The price depends on where it is billed: about $955 from a physician practice, and about $1,023 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 10 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$955$138 to $1,000
FacilityA hospital or hospital-owned outpatient department$1,023$229 to $1,259

How much rates vary

Facilitymedian $1,023 · 10th to 90th $166 to $2,692Professionalmedian $955 · 10th to 90th $126 to $1,023
$100$200$500$1K$2K$5Kfacility $1,023professional $955

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
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,000.00
Typical High
$1,023.29
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$125.89
Typical High
$954.99
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$100.00
Typical High
$125.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$218.78
Typical High
$295.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$154.88
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$199.53
Typical High
$239.88
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$165.96
Typical High
$269.15
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$2,691.53
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$5,370.32
Typical High
$5,370.32
Providence
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$1,023.29
Typical High
$1,412.54
Providence
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$1,202.26
The Alliance
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$204.17
United
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$316.23

Where California 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.

California· 25th 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.