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FlowerAmnioFlo

Pennsylvania rates for HCPCS Q4177

FlowerAmnioFlo, 0.1 cc

Rates data updated July 2026.

Facilitymedian $151 · 10th–90th $148$5620%50%10th90th$151Professionalmedian $151 · 10th–90th $145$1820%50%10th90th$151$100.0$500.0$2.0K$10.0K$50.0K

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
$151.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$151.36
Typical High
$151.36
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$147.91
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$537.03
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$151.36
Typical High
$151.36
United
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$181.97
Typical High
$199.53