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AMNIOREPAIR or AltiPly

New York 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 $87 · 10th–90th $87$1860%50%90th$87Professionalmedian $91 · 10th–90th $87$1660%20%40%10th90th$91$100.0$500.0$2.0K$10.0K$50.0K

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
Facility
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$89.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$93.33
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$165.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$165.96
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$151.36
Typical High
$354.81
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$239.88
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$91.20
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$91.20
Typical High
$91.20
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$95.50
Typical High
$173.78
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$138.04
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$125.89
Typical High
$218.78
Univera
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$97.72
Univera
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$91.20
Typical High
$91.20