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FlowerAmnioPatch

South Dakota rates for HCPCS Q4178

FlowerAmnioPatch, per sq cm (add-on, list separately in addition to primary procedure)

Rates data updated July 2026.

Facilitymedian $89 · 10th–90th $89$1700%50%90th$89Professionalmedian $93 · 10th–90th $89$1910%50%10th90th$93$100.0$200.0

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
$89.13
Median
$89.13
Typical High
$89.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$112.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$154.88
Typical High
$169.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$112.20
Typical High
$117.49
Medica
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$158.49
Typical High
$223.87
Medica
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$93.33
Typical High
$436.52
Midlands
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$112.20
Typical High
$112.20
Midlands
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$204.17
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$125.89
Typical High
$239.88
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13