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Cellesta Flowable Amnion

Wisconsin 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?

$1,549

Typical negotiated rate. In Wisconsin, October 2026.

Insurers have agreed to pay about $1,549 for this service. The price depends on where it is billed: about $1,549 from a physician practice, and about $1,660 from a hospital or other facility.

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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,549$562 to $1,660
FacilityA hospital or hospital-owned outpatient department$1,660$589 to $1,660

How much rates vary

Facilitymedian $1,660 · 10th to 90th $589 to $1,660Professionalmedian $1,549 · 10th to 90th $562 to $1,660
$100$200$500$1K$2Kfacility $1,660professional $1,549

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
$1,659.59
Median
$1,659.59
Typical High
$1,659.59
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,548.82
Median
$1,659.59
Typical High
$1,698.24
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$776.25
Median
$831.76
Typical High
$851.14
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$309.03
Median
$331.13
Typical High
$338.84
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$234.42
Median
$245.47
Typical High
$257.04
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$154.88
Median
$165.96
Typical High
$169.82
Cigna
Setting
Professional
Modifier
None
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
DeanCare
Setting
Facility
Modifier
None
Typical Low
$588.84
Median
$588.84
Typical High
$588.84
Medica
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$588.84
Typical High
$588.84
Prevea360
Setting
Facility
Modifier
None
Typical Low
$588.84
Median
$588.84
Typical High
$588.84
Quartz
Setting
Professional
Modifier
None
Typical Low
$5,888.44
Median
$5,888.44
Typical High
$5,888.44
Quartz
Setting
Professional
Modifier
None
Typical Low
$562.34
Median
$562.34
Typical High
$562.34

Where Wisconsin 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.

Wisconsin· 11th of 51

$1,549

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.