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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 July 2026.

How much does AMNIOREPAIR or AltiPly cost?

$126

Typical negotiated rate. In Virginia, July 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 $155 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$126$87.10 to $151
FacilityA hospital or hospital-owned outpatient department$155$105 to $214

How much rates vary

Facilitymedian $155 · 10th to 90th $87 to $339Professionalmedian $126 · 10th to 90th $87 to $204
$10.0$100.0$1.0K$10.0Kfacility $155professional $126

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
$93.33
Typical High
$93.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$93.33
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$263.03
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$154.88
Typical High
$154.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$251.19
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$151.36
Typical High
$239.88
Medcost
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$95.50
Typical High
$169.82
Medcost
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$109.65
Sentara
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$186.21
Typical High
$912.01
Sentara
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$186.21
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$154.88
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$131.83

Where Virginia 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.

Virginia $126 · 2nd 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.