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FlowerAmnioFlo

New Hampshire rates for HCPCS Q4177

FlowerAmnioFlo, 0.1 cc

Rates data updated July 2026.

Facilitymedian $174 · 10th–90th $151$4270%20%40%10th90th$174Professionalmedian $151 · 10th–90th $145$1820%50%10th90th$151$100.0$200.0$500.0$1.0K$2.0K

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
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$181.97
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$151.36
Typical High
$181.97
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$302.00
Typical High
$426.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$251.19
United
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$181.97
Typical High
$181.97
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$3,548.13
Typical High
$3,981.07