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AMNIOREPAIR or AltiPly

Alaska rates for HCPCS Q4235

AMNIOREPAIR or AltiPly, per sq cm (add-on, list separately in addition to primary procedure)

Rates data updated July 2026.

Facilitymedian $132 · 10th–90th $87$2340%20%10th90th$132Professionalmedian $162 · 10th–90th $87$4790%10%20%10th90th$162$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
$87.10
Median
$89.13
Typical High
$162.18
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
$87.10
Median
$131.83
Typical High
$234.42
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$302.00
Typical High
$512.86
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$3,467.37
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$85.11
Typical High
$85.11
Providence
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$131.83
Typical High
$229.09
Providence
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$125.89
Typical High
$125.89
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$190.55
Typical High
$380.19