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Cogenex Amniotic Membrane

Louisiana rates for HCPCS Q4229

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

Rates data updated October 2026.

How much does Cogenex Amniotic Membrane cost?

$219

Typical negotiated rate. In Louisiana, October 2026.

Insurers have agreed to pay about $219 for this service. The price depends on where it is billed: about $126 from a physician practice, and about $490 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$126$126 to $468
FacilityA hospital or hospital-owned outpatient department$490$490 to $490

How much rates vary

Facilitymedian $490 · 10th to 90th $339 to $490Professionalmedian $126 · 10th to 90th $126 to $490
$100$200$500$1Kfacility $490professional $126

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$457.09
Median
$457.09
Typical High
$478.63
Aetna
Setting
Professional
Modifier
None
Typical Low
$457.09
Median
$467.74
Typical High
$478.63
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$229.09
Median
$234.42
Typical High
$239.88
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$93.33
Median
$93.33
Typical High
$95.50
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$69.18
Median
$69.18
Typical High
$70.79
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$45.71
Median
$46.77
Typical High
$47.86
BCBS Louisiana
Setting
Facility
Modifier
None
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
BCBS Louisiana
Setting
Professional
Modifier
None
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Cigna
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$239.88
Typical High
$346.74
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
United
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$125.89
Typical High
$134.90

Where Louisiana sits

The same service costs 12.0 times more in Wyoming 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.

Louisiana· 28th of 51

$219

WY $1,413NC $117

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.