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Dermacyte Amniotic Membrane Allograft

Michigan 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 Michigan, 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 $575 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$550$158 to $575
FacilityA hospital or hospital-owned outpatient department$575$126 to $575

How much rates vary

Facilitymedian $575 · 10th to 90th $102 to $2,692Professionalmedian $550 · 10th to 90th $120 to $617
$100$200$500$1K$2K$5Kfacility $575professional $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
$575.44
Median
$575.44
Typical High
$575.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$588.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$120.23
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$1,202.26
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$1,778.28
Typical High
$4,786.30
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$575.44
Typical High
$2,137.96
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$1,148.15
Typical High
$1,202.26
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$2,691.53
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$134.90

Where Michigan 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.

Michigan· 25th 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.