go back

FlowerAmnioFlo

Wisconsin rates for HCPCS Q4177

FlowerAmnioFlo, 0.1 cc

Rates data updated July 2026.

Facilitymedian $182 · 10th–90th $145$4680%20%40%10th90th$182Professionalmedian $151 · 10th–90th $145$2140%20%40%10th90th$151$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$144.54
Typical High
$144.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$181.97
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$151.36
Typical High
$229.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$239.88
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$151.36
Typical High
$218.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$181.97
Typical High
$363.08
Medica
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$691.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$58.88
Typical High
$70.79
Network Health
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$151.36
Typical High
$218.78
Quartz
Setting
Professional
Modifier
Global
Typical Low
$5,888.44
Median
$5,888.44
Typical High
$5,888.44
Quartz
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$204.17
Typical High
$537.03
Quartz
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$812.83
United
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$416.87
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$190.55