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AmnioExcel, AmnioExcel Plus or BioDExcel

Montana 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 $112 · 10th–90th $95$3160%50%10th90th$112Professionalmedian $112 · 10th–90th $102$1580%50%10th90th$112$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
Professional
Modifier
Global
Typical Low
$102.33
Median
$112.20
Typical High
$125.89
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$125.89
Typical High
$125.89
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$112.20
Typical High
$223.87
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$112.20
Typical High
$223.87
Providence
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$117.49
Typical High
$245.47
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$117.49
Typical High
$186.21
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89