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SurgiGRAFT-DUAL

South Carolina 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?

$977

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $977 for this service. The price depends on where it is billed: about $977 from a physician practice, and about $977 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$977$126 to $1,000
FacilityA hospital or hospital-owned outpatient department$977$229 to $1,202

How much rates vary

Facilitymedian $977 · 10th to 90th $141 to $1,318Professionalmedian $977 · 10th to 90th $100 to $1,023
$100$200$500$1K$2Kfacility $977professional $977

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
$977.24
Median
$977.24
Typical High
$977.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$977.24
Typical High
$1,023.29
BCBS
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$97.72
Typical High
$147.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$181.97
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Medcost
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$1,047.13
Typical High
$1,548.82
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$85.11
Typical High
$812.83
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$125.89
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$125.89
Typical High
$125.89

Where South Carolina 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.

South Carolina· 20th of 51

$977

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.