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AmnioExcel, AmnioExcel Plus or BioDExcel

Massachusetts 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 $257 · 10th–90th $102$5250%20%10th90th$257Professionalmedian $102 · 10th–90th $102$1550%50%90th$102$100.0$500.0$2.0K$10.0K$50.0K

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
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$123.03
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$239.88
Typical High
$707.95
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$125.89
Typical High
$269.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$512.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$269.15
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$177.83
Typical High
$6,918.31
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$125.89
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$239.88
Typical High
$707.95
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$125.89
Typical High
$269.15
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$208.93
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$117.49
Typical High
$125.89