go back

FlowerAmnioFlo

Texas rates for HCPCS Q4177

FlowerAmnioFlo, 0.1 cc

Rates data updated July 2026.

Facilitymedian $182 · 10th–90th $145$6030%10%20%10th90th$182Professionalmedian $148 · 10th–90th $145$1820%50%10th90th$148$2.0$10.0$50.0$200.0$1.0K

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
$144.54
Median
$147.91
Typical High
$147.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$147.91
Typical High
$151.36
BCBS
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$398.11
Typical High
$812.83
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Cigna
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$363.08
Typical High
$1,023.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$181.97
Typical High
$263.03
Providence
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$181.97
Typical High
$309.03
Providence
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
United
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$257.04
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$190.55