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SurgiGRAFT-DUAL

Georgia 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 Georgia, 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 $339 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$955$741 to $1,000
FacilityA hospital or hospital-owned outpatient department$339$234 to $1,000

How much rates vary

Facilitymedian $339 · 10th to 90th $141 to $1,000Professionalmedian $955 · 10th to 90th $120 to $1,023
$100$200$500$1Kfacility $339professional $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
$954.99
Median
$1,000.00
Typical High
$1,202.26
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$741.31
Typical High
$741.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$234.42
Typical High
$338.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$151.36
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$186.21
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$239.88
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$245.47
Typical High
$346.74
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$676.08

Where Georgia 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.

Georgia· 41st 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.