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FlowerAmnioPatch

Wisconsin rates for HCPCS Q4178

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

Rates data updated July 2026.

Facilitymedian $145 · 10th–90th $89$4900%20%40%10th90th$145Professionalmedian $120 · 10th–90th $89$2750%20%10th90th$120$5.0$20.0$100.0$500.0$2.0K

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
$91.20
Median
$91.20
Typical High
$91.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$91.20
Typical High
$107.15
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$144.54
Typical High
$302.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$263.03
Typical High
$389.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$125.89
Typical High
$223.87
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$91.20
Typical High
$199.53
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Medica
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$95.50
Typical High
$223.87
Medica
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$234.42
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$58.88
Typical High
$70.79
Network Health
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
Network Health
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$91.20
Typical High
$147.91
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$91.20
Typical High
$199.53
Quartz
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$239.88
Typical High
$416.87
Quartz
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$707.95
Quartz
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$131.83
Typical High
$660.69
Security Health
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$147.91
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$165.96