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Amnio-Maxx or Amnio-Maxx Lite

North Dakota 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?

$1,905

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $1,905 for this service. The price depends on where it is billed: about $1,905 from a physician practice, and about $1,905 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 5 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$1,905$1,738 to $2,042
FacilityA hospital or hospital-owned outpatient department$1,905$1,905 to $2,042

How much rates vary

Facilitymedian $1,905 · 10th to 90th $1,905 to $3,388Professionalmedian $1,905 · 10th to 90th $1,479 to $2,291
$200$500$1K$2K$5Kfacility $1,905professional $1,905

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
$1,905.46
Median
$1,905.46
Typical High
$1,905.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$2,089.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,778.28
Typical High
$2,290.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$4,265.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$2,398.83
Typical High
$3,019.95
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,884.03
Typical High
$3,548.13
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,344.23
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$398.11

Where North Dakota 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.

North Dakota· 9th of 51

$1,905

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.