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FlowerAmnioFlo

Montana rates for HCPCS Q4177

FlowerAmnioFlo, 0.1 cc

Rates data updated July 2026.

Facilitymedian $178 · 10th–90th $148$2450%20%10th90th$178Professionalmedian $148 · 10th–90th $145$1820%50%10th90th$148$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$147.91
Typical High
$151.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Providence
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$177.83
Typical High
$245.47
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$85.11
Typical High
$223.87
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97