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AmnioExcel, AmnioExcel Plus or BioDExcel

Alaska rates for HCPCS Q4137

AmnioExcel, AmnioExcel Plus or BioDExcel, per sq cm (add-on, list separately in addition to primary procedure)

Rates data updated July 2026.

Facilitymedian $166 · 10th–90th $102$4170%10%20%10th90th$166Professionalmedian $191 · 10th–90th $102$4170%20%10th90th$191$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$190.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$158.49
Typical High
$295.12
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$302.00
Typical High
$512.86
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$380.19
Typical High
$588.84
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$295.12
Typical High
$323.59
Providence
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$177.83
Typical High
$398.11
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$125.89
Typical High
$144.54
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$190.55
Typical High
$380.19