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AMNIOREPAIR or AltiPly

Nebraska 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?

$91.20

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $91.20 for this service. The price depends on where it is billed: about $89.13 from a physician practice, and about $126 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 6 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$89.13$87.10 to $97.72
FacilityA hospital or hospital-owned outpatient department$126$89.13 to $170

How much rates vary

Facilitymedian $126 · 10th to 90th $81 to $229Professionalmedian $89 · 10th to 90th $87 to $126
$100.0$200.0$500.0facility $126professional $89

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
Facility
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$128.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$123.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$95.50
Typical High
$100.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$95.50
Typical High
$100.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$208.93
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$114.82
Typical High
$147.91
Medica
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$125.89
Typical High
$162.18
Medica
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$114.82
Midlands
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$109.65
Typical High
$141.25
Midlands
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$208.93
Typical High
$309.03
Midlands
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$141.25
Typical High
$199.53
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$134.90
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$125.89
Typical High
$141.25

Where Nebraska sits

The same service costs 1.9 times more in Alaska than in North Dakota. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Nebraska $91.20 · 18th of 51
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.