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AmnioMatrix or BioDMatrix, Injectable

Montana rates for HCPCS Q4139

AmnioMatrix or BioDMatrix, injectable, 1 cc

Rates data updated July 2026.

How much rates vary

Facilitymedian $724 · 10th to 90th $646 to $1,820Professionalmedian $646 · 10th to 90th $646 to $1,820
$100$200$500$1Kfacility $724professional $646

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$1,819.70
Providence
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$724.44
Typical High
$1,819.70
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$79.43
Typical High
$85.11