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Cogenex Amniotic Membrane

Wisconsin 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 $479 · 10th–90th $170$1,6600%20%10th90th$479Professionalmedian $295 · 10th–90th $126$5500%10%20%10th90th$295$5.0$20.0$100.0$500.0$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
Facility
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$478.63
Typical High
$512.86
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$173.78
Typical High
$416.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$1,380.38
Typical High
$2,089.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$223.87
Typical High
$645.65
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$478.63
Typical High
$1,047.13
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$338.84
Typical High
$1,412.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$1,659.59
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$60.26
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$549.54
Network Health
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$549.54
Typical High
$891.25
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$478.63
Typical High
$1,047.13
Quartz
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$245.47
Typical High
$416.87
Quartz
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,659.59
Quartz
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$398.11
Typical High
$1,905.46
Security Health
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$165.96