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Cogenex Amniotic Membrane

Montana 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 $209 · 10th–90th $186$5750%20%40%10th90th$209Professionalmedian $457 · 10th–90th $126$5370%20%10th90th$457$100.0$200.0$500.0$1.0K

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
$489.78
Typical High
$537.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$575.44
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$181.97
Typical High
$575.44
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$309.03
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$309.03
Providence
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$467.74
Typical High
$776.25
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$125.89
Typical High
$645.65
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89