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Dermacyte Amniotic Membrane Allograft

Massachusetts rates for HCPCS Q4248

Dermacyte Amniotic Membrane Allograft, per sq cm (add-on, list separately in addition to primary procedure)

Rates data updated July 2026.

How much does Dermacyte Amniotic Membrane Allograft cost?

$550

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $550 for this service. The price depends on where it is billed: about $550 from a physician practice, and about $234 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 7 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$550$550 to $550
FacilityA hospital or hospital-owned outpatient department$234$174 to $550

How much rates vary

Facilitymedian $234 · 10th to 90th $126 to $4,898Professionalmedian $550 · 10th to 90th $126 to $933
$100$200$500$1K$2K$5Kfacility $234professional $550

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
$549.54
Median
$549.54
Typical High
$549.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$1,000.00
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$7,943.28
Typical High
$7,943.28
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$2,290.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$269.15
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$181.97
Typical High
$3,630.78
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$181.97
Typical High
$295.12
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$7,943.28
Typical High
$7,943.28
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$2,290.87
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$208.93
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$549.54
Typical High
$1,174.90

Where Massachusetts sits

The same service costs 2.7 times more in South Dakota than in Minnesota. 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.

Massachusetts· 12th of 51

$550

SD $692MN $257

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.