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AmnioMatrix or BioDMatrix, Injectable

Wisconsin rates for HCPCS Q4139

AmnioMatrix or BioDMatrix, injectable, 1 cc

Rates data updated July 2026.

How much does AmnioMatrix or BioDMatrix, Injectable cost?

$646

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $646 for this service. The price depends on where it is billed: about $646 from a physician practice, and about $646 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$646$646 to $646
FacilityA hospital or hospital-owned outpatient department$646$646 to $891

How much rates vary

Facilitymedian $646 · 10th to 90th $100 to $1,148Professionalmedian $646 · 10th to 90th $646 to $977
$50$100$200$500$1Kfacility $646professional $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
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$977.24
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$467.74
Typical High
$616.60
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$1,584.89
Medica
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$645.65
Typical High
$1,148.15
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$50.12
Typical High
$70.79
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$1,584.89
Quartz
Setting
Professional
Modifier
Global
Typical Low
$5,888.44
Median
$5,888.44
Typical High
$5,888.44
Quartz
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$100.00
United
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68

Where Wisconsin sits

The same service costs 2.8 times more in Vermont than in South Dakota. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Wisconsin· 46th of 51

$646

VT $1,820SD $646

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.