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SurgiGRAFT-DUAL

Washington, DC 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?

$1,023

Typical negotiated rate. In Washington, DC, July 2026.

Insurers have agreed to pay about $1,023 for this service. Most negotiated rates run $977 to $1,023.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,023 · 10th to 90th $195 to $1,023Professionalmedian $1,023 · 10th to 90th $126 to $1,023
$100$200$500$1Kfacility $1,023professional $1,023

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,023.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,023.29
Typical High
$1,023.29
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$263.03
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$147.91
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$676.08
Typical High
$707.95
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$724.44

Where Washington, DC 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.

Washington, DC· 3rd of 51

$1,023

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.