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AmnioExcel, AmnioExcel Plus or BioDExcel

Arizona rates for HCPCS Q4137

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

Rates data updated October 2026.

How much does AmnioExcel, AmnioExcel Plus or BioDExcel cost?

$123

Typical negotiated rate. In Arizona, October 2026.

Insurers have agreed to pay about $123 for this service. The price depends on where it is billed: about $112 from a physician practice, and about $151 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$112$100 to $126
FacilityA hospital or hospital-owned outpatient department$151$87.10 to $224

How much rates vary

Facilitymedian $151 · 10th to 90th $49 to $275Professionalmedian $112 · 10th to 90th $100 to $269
$50$100$200$500facility $151professional $112

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$112.20
Typical High
$112.20
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$53.70
Median
$56.23
Typical High
$56.23
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$21.38
Median
$22.39
Typical High
$22.39
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$15.85
Median
$16.60
Typical High
$16.60
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$10.72
Median
$11.22
Typical High
$11.22
BCBS Arizona
Setting
Facility
Modifier
None
Typical Low
$48.98
Median
$117.49
Typical High
$309.03
BCBS Arizona
Setting
Professional
Modifier
None
Typical Low
$97.72
Median
$100.00
Typical High
$223.87
Cigna
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$177.83
Typical High
$263.03
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Medica
Setting
Facility
Modifier
None
Typical Low
$97.72
Median
$123.03
Typical High
$269.15
Medica
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$512.86
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89

Where Arizona sits

The same service costs 2.4 times more in Wyoming 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.

Arizona· 35th of 51

$123

WY $229NC $95.50

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.