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AmnioBand or Guardian

New York 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 New York, 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 $135 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 9 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 $148
FacilityA hospital or hospital-owned outpatient department$135$135 to $141

How much rates vary

Facilitymedian $135 · 10th to 90th $135 to $186Professionalmedian $135 · 10th to 90th $126 to $195
$100$500$2K$10K$50Kfacility $135professional $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
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$181.97
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$134.90
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$165.96
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$138.04
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$169.82
Typical High
$501.19
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$147.91
Typical High
$251.19
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$141.25
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$141.25
Typical High
$141.25
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$147.91
Typical High
$177.83
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$138.04
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$144.54
Typical High
$309.03
Univera
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$147.91
Univera
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$141.25
Typical High
$141.25

Where New York 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.

New York· 48th 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.