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FlowerAmnioFlo

Wisconsin rates for HCPCS Q4177

FlowerAmnioFlo, 0.1 cc

Rates data updated October 2026.

How much does FlowerAmnioFlo cost?

$182

Typical negotiated rate. In Wisconsin, October 2026.

Insurers have agreed to pay about $182 for this service. The price depends on where it is billed: about $182 from a physician practice, and about $204 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$182$151 to $182
FacilityA hospital or hospital-owned outpatient department$204$145 to $468

How much rates vary

Facilitymedian $204 · 10th to 90th $145 to $468Professionalmedian $182 · 10th to 90th $145 to $380
$200$500$1Kfacility $204professional $182

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$144.54
Typical High
$645.65
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$72.44
Median
$72.44
Typical High
$323.59
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$28.84
Median
$28.84
Typical High
$128.82
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$21.38
Median
$21.38
Typical High
$97.72
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$14.45
Median
$14.45
Typical High
$64.57
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$151.36
Typical High
$229.09
Cigna
Setting
Facility
Modifier
None
Typical Low
$239.88
Median
$239.88
Typical High
$467.74
Cigna
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
DeanCare
Setting
Facility
Modifier
None
Typical Low
$144.54
Median
$144.54
Typical High
$181.97
Medica
Setting
Facility
Modifier
None
Typical Low
$144.54
Median
$181.97
Typical High
$181.97
Medica
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$181.97
Typical High
$691.83
Network Health
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Prevea360
Setting
Facility
Modifier
None
Typical Low
$144.54
Median
$144.54
Typical High
$181.97
Quartz
Setting
Professional
Modifier
None
Typical Low
$5,888.44
Median
$5,888.44
Typical High
$5,888.44
Quartz
Setting
Facility
Modifier
None
Typical Low
$204.17
Median
$467.74
Typical High
$467.74
Quartz
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
United
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$181.97
Typical High
$245.47

Where Wisconsin sits

The same service costs 2.2 times more in North Carolina than in Michigan. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Wisconsin· 7th of 51

$182

NC $324MI $145

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.