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SurgiGRAFT-DUAL

North Dakota 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 North Dakota, 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 $955 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 5 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$871 to $1,023
FacilityA hospital or hospital-owned outpatient department$955$955 to $1,202

How much rates vary

Facilitymedian $955 · 10th to 90th $955 to $1,202Professionalmedian $955 · 10th to 90th $724 to $1,148
$200$500$1K$2Kfacility $955professional $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
$954.99
Median
$954.99
Typical High
$1,202.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,000.00
Typical High
$1,202.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$891.25
Typical High
$1,122.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$263.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$147.91
Typical High
$181.97
Medica
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,202.26
Typical High
$1,778.28
Medica
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$891.25
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$398.11

Where North Dakota 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.

North Dakota· 35th 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.