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AMNIOREPAIR or AltiPly

Montana 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 $158 · 10th–90th $107$2630%20%40%10th90th$158Professionalmedian $102 · 10th–90th $87$2000%20%10th90th$102$100.0$200.0$500.0

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
$97.72
Typical High
$154.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$125.89
Typical High
$177.83
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$288.40
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$288.40
Providence
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$107.15
Typical High
$263.03
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$107.15
Typical High
$181.97
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89