go back

AMNIOREPAIR or AltiPly

Pennsylvania 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?

$89.13

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $89.13 for this service. The price depends on where it is billed: about $89.13 from a physician practice, and about $89.13 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 8 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 $93.33
FacilityA hospital or hospital-owned outpatient department$89.13$87.10 to $126

How much rates vary

Facilitymedian $89 · 10th to 90th $87 to $447Professionalmedian $89 · 10th to 90th $87 to $126
$100.0$200.0$500.0facility $89professional $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
$89.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$97.72
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$87.10
Typical High
$109.65
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$446.68
Typical High
$478.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$263.03
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$151.36
Typical High
$218.78
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$89.13
Typical High
$89.13
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$93.33
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$173.78
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$173.78
United
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$125.89
Typical High
$147.91

Where Pennsylvania 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.

Pennsylvania $89.13 · 24th 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.