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  4. /CPT Q4158
CPT Q4158

HC GRAFTS FISH SKIN PER SQ CM LVL 01 (HIGH) at IHC Health Services Inc., DBA Intermountain Health Logan Regional Hospital

Logan, UT

Pricing by billing methodology

Price type

All methodologies

$237

Aggregated across all available billing methodologies for this code.

Case rate

Not reported

Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.

Fee schedule

$3

Reflects negotiated fee schedule rates with commercial payers.

Per diem

Not reported

Reflects a negotiated per diem rate paid per day of care.

Percent of billed charges

$237

Reflects a negotiated percentage of total billed charges.

Other

Not reported

Reflects a payer-specific billing methodology not covered by the standard categories.

Last updated: Aug 5, 2026

Compare to other hospitals

See HC GRAFTS FISH SKIN PER SQ CM LVL 01 (HIGH) pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.

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