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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 October 2026.

How much does AMNIOREPAIR or AltiPly cost?

$162

Typical negotiated rate. In Alaska, October 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 $162 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$162$162 to $195
FacilityA hospital or hospital-owned outpatient department$162$129 to $186

How much rates vary

Facilitymedian $162 · 10th to 90th $87 to $234Professionalmedian $162 · 10th to 90th $126 to $339
$100$200$500facility $162professional $162

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Aetna
Setting
Professional
Modifier
None
Typical Low
$91.20
Median
$162.18
Typical High
$162.18
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$45.71
Median
$81.28
Typical High
$81.28
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$18.20
Median
$32.36
Typical High
$32.36
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$13.49
Median
$24.55
Typical High
$24.55
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$9.12
Median
$16.22
Typical High
$16.22
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Moda Health
Setting
Facility
Modifier
None
Typical Low
$87.10
Median
$162.18
Typical High
$234.42
Moda Health
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$162.18
Typical High
$416.87
Moda Health
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
Moda Health
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$32.36
Median
$32.36
Typical High
$32.36
Moda Health
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$24.55
Median
$24.55
Typical High
$24.55
Moda Health
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$16.22
Median
$16.22
Typical High
$16.22
Providence
Setting
Facility
Modifier
None
Typical Low
$128.82
Median
$128.82
Typical High
$186.21
Providence
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$125.89
Typical High
$125.89
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$190.55
Typical High
$346.74

Where Alaska sits

The same service costs 1.9 times more in Alaska than in New York. 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 $162NY $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.