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Genesis Amniotic Membrane

New Jersey rates for HCPCS Q4198

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

Rates data updated October 2026.

How much does Genesis Amniotic Membrane cost?

$132

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $132 for this service. The price depends on where it is billed: about $132 from a physician practice, and about $245 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$132$126 to $138
FacilityA hospital or hospital-owned outpatient department$245$138 to $427

How much rates vary

Facilitymedian $245 · 10th to 90th $126 to $468Professionalmedian $132 · 10th to 90th $126 to $148
$100$200$500facility $245professional $132

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
$131.83
Median
$138.04
Typical High
$138.04
Aetna
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$138.04
Typical High
$138.04
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$64.57
Median
$69.18
Typical High
$69.18
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$25.70
Median
$27.54
Typical High
$27.54
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$19.05
Median
$20.89
Typical High
$20.89
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$12.88
Median
$13.80
Typical High
$13.80
Cigna
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$144.54
Typical High
$190.55
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$194.98
Typical High
$199.53
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$245.47
Median
$380.19
Typical High
$524.81
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$147.91
Typical High
$263.03
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$141.25

Where New Jersey sits

The same service costs 2.3 times more in North Dakota than in North Carolina. 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.

New Jersey· 10th of 51

$132

ND $224NC $95.50

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.