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AMNIOREPAIR or AltiPly

Arkansas 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?

$105

Typical negotiated rate. In Arkansas, October 2026.

Insurers have agreed to pay about $105 for this service. The price depends on where it is billed: about $105 from a physician practice, and about $95.50 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$105$95.50 to $126
FacilityA hospital or hospital-owned outpatient department$95.50$95.50 to $95.50

How much rates vary

Facilitymedian $95 · 10th to 90th $95 to $95Professionalmedian $105 · 10th to 90th $95 to $126
$100$200facility $95professional $105

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
Aetna
Setting
Professional
Modifier
None
Typical Low
$91.20
Median
$104.71
Typical High
$104.71
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$45.71
Median
$52.48
Typical High
$52.48
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$18.20
Median
$20.89
Typical High
$20.89
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$13.80
Median
$15.85
Typical High
$15.85
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$9.12
Median
$10.47
Typical High
$10.47
BCBS Arkansas
Setting
Facility
Modifier
None
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
BCBS Arkansas
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Cigna
Setting
Facility
Modifier
None
Typical Low
$169.82
Median
$173.78
Typical High
$239.88
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
United
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$125.89
Typical High
$128.82

Where Arkansas 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.

Arkansas· 41st of 51

$105

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.