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AmnioExcel, AmnioExcel Plus or BioDExcel

Wisconsin 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 $158 · 10th–90th $102$4900%20%40%10th90th$158Professionalmedian $126 · 10th–90th $102$2820%20%40%10th90th$126$5.0$20.0$100.0$500.0$2.0K

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
$104.71
Median
$104.71
Typical High
$104.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$104.71
Typical High
$123.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$158.49
Typical High
$302.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$295.12
Typical High
$426.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$128.82
Typical High
$223.87
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$104.71
Typical High
$229.09
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Medica
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$104.71
Typical High
$229.09
Medica
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$295.12
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$58.88
Typical High
$70.79
Network Health
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$123.03
Network Health
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$123.03
Typical High
$199.53
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$104.71
Typical High
$229.09
Quartz
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$263.03
Typical High
$416.87
Quartz
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$707.95
Quartz
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$660.69
Security Health
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$169.82
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$162.18