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AMNIOREPAIR or AltiPly

Kansas 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?

$126

Typical negotiated rate. In Kansas, October 2026.

Insurers have agreed to pay about $126 for this service. The price depends on where it is billed: about $120 from a physician practice, and about $170 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$120$87.10 to $126
FacilityA hospital or hospital-owned outpatient department$170$151 to $219

How much rates vary

Facilitymedian $170 · 10th to 90th $123 to $468Professionalmedian $120 · 10th to 90th $81 to $562
$100$200$500facility $170professional $120

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
$120.23
Median
$120.23
Typical High
$120.23
Aetna
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$97.72
Typical High
$120.23
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$43.65
Median
$48.98
Typical High
$60.26
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$17.78
Median
$19.50
Typical High
$23.99
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$13.18
Median
$14.79
Typical High
$17.78
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$8.71
Median
$9.77
Typical High
$12.02
Cigna
Setting
Facility
Modifier
None
Typical Low
$144.54
Median
$169.82
Typical High
$467.74
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Medica
Setting
Facility
Modifier
None
Typical Low
$81.28
Median
$147.91
Typical High
$223.87
Medica
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$81.28
Typical High
$562.34
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89

Where Kansas 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.

Kansas· 18th of 51

$126

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.