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Genesis Amniotic Membrane

Wisconsin rates for HCPCS Q4198

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

Rates data updated July 2026.

How much does Genesis Amniotic Membrane cost?

$141

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $141 for this service. The price depends on where it is billed: about $135 from a physician practice, and about $398 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$135$123 to $275
FacilityA hospital or hospital-owned outpatient department$398$170 to $490

How much rates vary

Facilitymedian $398 · 10th to 90th $123 to $708Professionalmedian $135 · 10th to 90th $115 to $372
$10.0$100.0$1.0Kfacility $398professional $135

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$123.03
Typical High
$131.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$263.03
Typical High
$446.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$398.11
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$131.83
Typical High
$181.97
Medica
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$58.88
Typical High
$70.79
Quartz
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$302.00
Typical High
$416.87
Quartz
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$489.78
Typical High
$707.95
Quartz
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$660.69
Security Health
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
Security Health
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$190.55
Typical High
$338.84
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$144.54

Where Wisconsin sits

Rates are fairly even across states for this service. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Wisconsin $141 · 1st of 51
WI $141VT $100

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.