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Cogenex Amniotic Membrane

Alaska rates for HCPCS Q4229

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

Rates data updated July 2026.

Facilitymedian $513 · 10th–90th $178$1,8200%20%10th90th$513Professionalmedian $457 · 10th–90th $191$8510%20%10th90th$457$100.0$200.0$500.0$1.0K$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
Professional
Modifier
Global
Typical Low
$457.09
Median
$467.74
Typical High
$851.14
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$512.86
Typical High
$1,230.27
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$302.00
Typical High
$512.86
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$2,344.23
Typical High
$3,630.78
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,819.70
Typical High
$1,995.26
Providence
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$478.63
Typical High
$1,230.27
Providence
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$645.65
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$190.55
Typical High
$446.68