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AmnioExcel, AmnioExcel Plus or BioDExcel

Iowa 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 $102 · 10th–90th $102$2690%50%90th$102Professionalmedian $126 · 10th–90th $102$2690%20%40%10th90th$126$0.1$0.5$2.0$10.0$50.0$200.0

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
Facility
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$269.15
Typical High
$288.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$245.47
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$123.03
Typical High
$131.83
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$102.33
Typical High
$199.53
Medica
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$131.83
Typical High
$416.87
Medica
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$223.87
Midlands
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$123.03
Typical High
$151.36
Midlands
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$239.88
Typical High
$302.00
Midlands
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$223.87
Typical High
$223.87
United
Setting
Facility
Modifier
Global
Typical Low
$0.13
Median
$114.82
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$138.04
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$102.33
Typical High
$102.33