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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 July 2026.

Facilitymedian $589 · 10th–90th $100$8910%50%10th90th$589Professionalmedian $589 · 10th–90th $562$1,6600%50%10th90th$589$50.0$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
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$1,071.52
Medica
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$588.84
Typical High
$891.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$58.88
Typical High
$70.79
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$1,071.52
Quartz
Setting
Professional
Modifier
Global
Typical Low
$5,888.44
Median
$5,888.44
Typical High
$5,888.44
Quartz
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$100.00
Quartz
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$562.34