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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.

How much does AMNIOREPAIR or AltiPly cost?

$120

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $120 for this service. The price depends on where it is billed: about $102 from a physician practice, and about $158 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 5 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$102$91.20 to $158
FacilityA hospital or hospital-owned outpatient department$158$151 to $186

How much rates vary

Facilitymedian $158 · 10th to 90th $107 to $263Professionalmedian $102 · 10th to 90th $87 to $200
$100$200$500facility $158professional $102

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
$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

Where Montana 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.

Montana· 4th of 51

$120

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.