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AMNIOREPAIR or AltiPly

Washington 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 Washington, 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 $126 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$126$97.72 to $126
FacilityA hospital or hospital-owned outpatient department$126$87.10 to $214

How much rates vary

Facilitymedian $126 · 10th to 90th $81 to $355Professionalmedian $126 · 10th to 90th $98 to $661
$50$100$200$500$1Kfacility $126professional $126

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Aetna
Setting
Professional
Modifier
None
Typical Low
$89.13
Median
$97.72
Typical High
$97.72
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$44.67
Median
$47.86
Typical High
$47.86
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$17.78
Median
$19.50
Typical High
$19.50
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$13.18
Median
$14.45
Typical High
$14.45
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$8.91
Median
$9.77
Typical High
$9.77
Asuris Northwest Health
Setting
Facility
Modifier
None
Typical Low
$95.50
Median
$204.17
Typical High
$354.81
Asuris Northwest Health
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$660.69
Typical High
$1,096.48
Cigna
Setting
Facility
Modifier
None
Typical Low
$169.82
Median
$169.82
Typical High
$251.19
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$338.84
Typical High
$436.52
Molina
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$44.67
Typical High
$50.12
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$79.43
Median
$87.10
Typical High
$97.72
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$204.17
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$154.88
Typical High
$295.12

Where Washington 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.

Washington· 30th 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.