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AmnioExcel, AmnioExcel Plus or BioDExcel

New York 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$2290%50%90th$102Professionalmedian $110 · 10th–90th $102$1350%50%10th90th$110$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
$107.15
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$158.49
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$107.15
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$165.96
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$229.09
Typical High
$501.19
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$229.09
Typical High
$229.09
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$104.71
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$104.71
Typical High
$104.71
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$50,118.72
Typical High
$53,703.18
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$138.04
Typical High
$190.55
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$138.04
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$117.49
Typical High
$134.90
Univera
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$112.20
Univera
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$104.71
Typical High
$104.71