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AmnioExcel, AmnioExcel Plus or BioDExcel

Virginia 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 $110 · 10th–90th $102$2690%20%40%10th90th$110Professionalmedian $107 · 10th–90th $102$2690%20%40%10th90th$107$2.0$10.0$50.0$200.0

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
$107.15
Typical High
$107.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$128.82
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$380.19
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$162.18
Typical High
$162.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$251.19
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$173.78
Typical High
$263.03
Medcost
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$112.20
Typical High
$269.15
Medcost
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$234.42
Sentara
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$112.20
Typical High
$186.21
Sentara
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$112.20
Typical High
$186.21
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$208.93
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$134.90