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Amnion Bio or AxoBioMembrane

South Carolina rates for HCPCS Q4211

Amnion Bio or AxoBioMembrane, per sq cm (add-on, list separately in addition to primary procedure)

Rates data updated July 2026.

How much does Amnion Bio or AxoBioMembrane cost?

$117

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $117 for this service. The price depends on where it is billed: about $117 from a physician practice, and about $126 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 6 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$117$115 to $126
FacilityA hospital or hospital-owned outpatient department$126$115 to $166

How much rates vary

Facilitymedian $126 · 10th to 90th $115 to $245Professionalmedian $117 · 10th to 90th $110 to $129
$50.0$100.0$200.0$500.0facility $126professional $117

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
$114.82
Median
$114.82
Typical High
$114.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$117.49
Typical High
$128.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$125.89
Typical High
$151.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$181.97
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Medcost
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$128.82
Typical High
$251.19
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$125.89
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$125.89
Typical High
$125.89

Where South Carolina 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.

South Carolina $117 · 45th of 51
MN $148VT $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.