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AmnioExcel, AmnioExcel Plus or BioDExcel

Michigan 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 $105 · 10th–90th $102$2950%50%10th90th$105Professionalmedian $105 · 10th–90th $95$1260%50%10th90th$105$20.0$50.0$100.0$200.0$500.0

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
$104.71
Median
$104.71
Typical High
$104.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$107.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$125.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$125.89
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$125.89
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$288.40
Typical High
$776.25
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$125.89
Typical High
$371.54
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$125.89
Typical High
$134.90