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Cellesta Flowable Amnion

Pennsylvania rates for HCPCS Q4185

Cellesta Flowable Amnion (25 mg per cc); per 0.5 cc

Rates data updated October 2026.

How much does Cellesta Flowable Amnion cost?

$589

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $589 for this service. Most negotiated rates run $562 to $589.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $589 · 10th to 90th $589 to $589Professionalmedian $589 · 10th to 90th $562 to $589
$1Kfacility $589professional $589

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
$588.84
Median
$588.84
Typical High
$588.84
Aetna
Setting
Professional
Modifier
None
Typical Low
$588.84
Median
$588.84
Typical High
$588.84
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Cigna
Setting
Professional
Modifier
None
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$588.84
Median
$588.84
Typical High
$588.84
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$588.84
Median
$588.84
Typical High
$588.84
Martin's Point
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Martin's Point
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Martin's Point
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Martin's Point
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$58.88
Median
$58.88
Typical High
$58.88

Where Pennsylvania sits

The same service costs 40.7 times more in North Carolina than in Montana. 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.

Pennsylvania· 36th of 51

$589

NC $3,236MT $79.43

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.