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AMNIOREPAIR or AltiPly

Virginia rates for HCPCS Q4235

AMNIOREPAIR or AltiPly, per sq cm (add-on, list separately in addition to primary procedure)

Rates data updated October 2026.

How much does AMNIOREPAIR or AltiPly cost?

$126

Typical negotiated rate. In Virginia, October 2026.

Insurers have agreed to pay about $126 for this service. The price depends on where it is billed: about $126 from a physician practice, and about $224 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$126$126 to $126
FacilityA hospital or hospital-owned outpatient department$224$148 to $331

How much rates vary

Facilitymedian $224 · 10th to 90th $105 to $2,455Professionalmedian $126 · 10th to 90th $93 to $155
$100$200$500$1K$2K$5K$10Kfacility $224professional $126

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$87.10
Median
$87.10
Typical High
$93.33
Aetna
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$93.33
Typical High
$93.33
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$43.65
Median
$45.71
Typical High
$45.71
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$17.78
Median
$18.62
Typical High
$18.62
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$13.18
Median
$13.80
Typical High
$13.80
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$8.71
Median
$9.33
Typical High
$9.33
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
CareFirst
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
Cigna
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$239.88
Typical High
$331.13
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$151.36
Typical High
$194.98
Medcost
Setting
Facility
Modifier
None
Typical Low
$87.10
Median
$87.10
Typical High
$141.25
Medcost
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$109.65
Typical High
$151.36
Sentara
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$208.93
Typical High
$10,232.93
Sentara
Setting
Professional
Modifier
None
Typical Low
$104.71
Median
$162.18
Typical High
$331.13
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$128.82

Where Virginia sits

The same service costs 1.9 times more in Alaska than in New York. 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.

Virginia· 8th of 51

$126

AK $162NY $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.