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FlowerAmnioFlo

South Dakota rates for HCPCS Q4177

FlowerAmnioFlo, 0.1 cc

Rates data updated July 2026.

Facilitymedian $182 · 10th–90th $182$2510%50%90th$182Professionalmedian $155 · 10th–90th $145$1820%50%10th90th$155$200.0$500.0

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
Facility
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$151.36
Typical High
$181.97
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Medica
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$245.47
Typical High
$302.00
Medica
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$691.83
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$208.93
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97