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Cellesta Flowable Amnion

South Dakota rates for HCPCS Q4185

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

Rates data updated July 2026.

Facilitymedian $1,000 · 10th–90th $589$2,7540%20%40%10th90th$1,000Professionalmedian $589 · 10th–90th $589$1,6600%50%90th$589$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$588.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
Medica
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,000.00
Typical High
$3,311.31