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Genesis Amniotic Membrane

California rates for HCPCS Q4198

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

Rates data updated July 2026.

Facilitymedian $302 · 10th–90th $100$1,5140%5%10%10th90th$302Professionalmedian $126 · 10th–90th $110$1860%50%10th90th$126$0.0$0.2$2.0$20.0$200.0$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
$128.82
Median
$128.82
Typical High
$151.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$125.89
Typical High
$151.36
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$125.89
Typical High
$234.42
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$1,047.13
Typical High
$2,041.74
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$100.00
Typical High
$125.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$218.78
Typical High
$295.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$199.53
Typical High
$239.88
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$173.78
Typical High
$269.15
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
Providence
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$173.78
Typical High
$257.04
Providence
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
The Alliance
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$204.17
United
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$41.69
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$186.21