go back

FlowerAmnioFlo

Indiana rates for HCPCS Q4177

FlowerAmnioFlo, 0.1 cc

Rates data updated October 2026.

How much does FlowerAmnioFlo cost?

$151

Typical negotiated rate. In Indiana, October 2026.

Insurers have agreed to pay about $151 for this service. The price depends on where it is billed: about $151 from a physician practice, and about $417 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$151$145 to $182
FacilityA hospital or hospital-owned outpatient department$417$174 to $912

How much rates vary

Facilitymedian $417 · 10th to 90th $151 to $2,089Professionalmedian $151 · 10th to 90th $145 to $195
$200$500$1K$2Kfacility $417professional $151

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$144.54
Typical High
$147.91
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$72.44
Median
$72.44
Typical High
$74.13
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$28.84
Median
$28.84
Typical High
$30.20
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$21.38
Median
$21.38
Typical High
$22.39
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$14.45
Median
$14.45
Typical High
$14.79
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$165.96
Typical High
$181.97
Cigna
Setting
Facility
Modifier
None
Typical Low
$173.78
Median
$416.87
Typical High
$416.87
Cigna
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$151.36
Typical High
$812.83
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$162.18
Median
$954.99
Typical High
$2,187.76
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$151.36
Typical High
$245.47
United
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$181.97
Typical High
$245.47

Where Indiana sits

The same service costs 2.2 times more in North Carolina than in Michigan. 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· 42nd of 51

$151

NC $324MI $145

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.