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South Dakota rates for HCPCS Q4139

AmnioMatrix or BioDMatrix, injectable, 1 cc

Facilitymedian $646 · 10th–90th $646–$1,6600%50%90th$646Professionalmedian $646 · 10th–90th $646–$9770%50%90th$646$100.0$200.0$500.0$1.0K$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $645.65 / $645.65
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $645.65 / $977.24
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $1,071.52 / $2,691.53