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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.

How much does AMNIOREPAIR or AltiPly cost?

$162

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $162 for this service. The price depends on where it is billed: about $162 from a physician practice, and about $132 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 6 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$162$89.13 to $309
FacilityA hospital or hospital-owned outpatient department$132$87.10 to $166

How much rates vary

Facilitymedian $132 · 10th to 90th $87 to $234Professionalmedian $162 · 10th to 90th $87 to $479
$100$200$500$1K$2Kfacility $132professional $162

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
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

Where Alaska sits

The same service costs 1.9 times more in Alaska than in North Dakota. 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.

Alaska· 1st of 51

$162

AK $162ND $87.10

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.