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Amnio-Maxx or Amnio-Maxx Lite

Alaska rates for HCPCS Q4239

Amnio-Maxx or Amnio-Maxx Lite, per sq cm (add-on, list separately in addition to primary procedure)

Rates data updated July 2026.

How much does Amnio-Maxx or Amnio-Maxx Lite cost?

$646

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $646 for this service. The price depends on where it is billed: about $513 from a physician practice, and about $2,399 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 6 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$513$288 to $1,905
FacilityA hospital or hospital-owned outpatient department$2,399$1,905 to $3,548

How much rates vary

Facilitymedian $2,399 · 10th to 90th $178 to $4,365Professionalmedian $513 · 10th to 90th $191 to $2,692
$100$200$500$1K$2K$5Kfacility $2,399professional $513

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
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$3,548.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$2,089.30
Typical High
$3,548.13
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$302.00
Typical High
$512.86
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,801.89
Typical High
$5,888.44
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,951.21
Typical High
$3,235.94
Providence
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$1,995.26
Typical High
$3,548.13
Providence
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$2,818.38
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$190.55
Typical High
$446.68

Where Alaska sits

The same service costs 8.3 times more in South Dakota than in Wisconsin. 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.

Alaska· 47th of 51

$646

SD $2,042WI $245

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.