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AmnioBand or Guardian

Indiana rates for HCPCS Q4151

AmnioBand or Guardian, per sq cm (add-on, list separately in addition to primary procedure)

Rates data updated July 2026.

How much does AmnioBand or Guardian cost?

$135

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $135 for this service. The price depends on where it is billed: about $135 from a physician practice, and about $209 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 5 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$135$135 to $135
FacilityA hospital or hospital-owned outpatient department$209$141 to $380

How much rates vary

Facilitymedian $209 · 10th to 90th $135 to $513Professionalmedian $135 · 10th to 90th $126 to $155
$100$200$500facility $209professional $135

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$141.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$239.88
Typical High
$512.86
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$208.93
CareSource
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$162.18
Typical High
$245.47
Cigna
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$346.74
Typical High
$346.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$257.04
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89

Where Indiana sits

The same service costs 1.6 times more in Alaska than in Minnesota. 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.

Indiana· 18th of 51

$135

AK $204MN $126

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.