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Cogenex Amniotic Membrane

New York rates for HCPCS Q4229

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

Rates data updated July 2026.

How much does Cogenex Amniotic Membrane cost?

$457

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $457 for this service. The price depends on where it is billed: about $457 from a physician practice, and about $457 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$457$457 to $479
FacilityA hospital or hospital-owned outpatient department$457$457 to $468

How much rates vary

Facilitymedian $457 · 10th to 90th $138 to $550Professionalmedian $457 · 10th to 90th $126 to $851
$100$500$2K$10K$50Kfacility $457professional $457

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
$457.09
Median
$457.09
Typical High
$467.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$489.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$457.09
Typical High
$457.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$165.96
Typical High
$1,412.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$138.04
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$537.03
Typical High
$2,137.96
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$1,202.26
Typical High
$1,412.54
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$478.63
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$478.63
Typical High
$478.63
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$363.08
Typical High
$1,202.26
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$138.04
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$478.63
Typical High
$1,288.25
Univera
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$512.86
Univera
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$478.63
Typical High
$478.63

Where New York sits

The same service costs 2.0 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.

New York· 13th of 51

$457

WY $479NC $240

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.