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AmnioExcel, AmnioExcel Plus or BioDExcel

South Dakota 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 $105 · 10th–90th $102$2290%50%10th90th$105$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
$102.33
Median
$269.15
Typical High
$269.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$125.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$169.82
Typical High
$173.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$120.23
Typical High
$128.82
Medica
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$169.82
Typical High
$269.15
Medica
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$512.86
Midlands
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$123.03
Midlands
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$204.17
Midlands
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$239.88
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33