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Amnio-Maxx or Amnio-Maxx Lite

South Carolina 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 South Carolina, 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 $1,995 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$1,905$339 to $1,995
FacilityA hospital or hospital-owned outpatient department$1,995$457 to $2,512

How much rates vary

Facilitymedian $1,995 · 10th to 90th $182 to $2,951Professionalmedian $1,905 · 10th to 90th $126 to $1,995
$100$200$500$1K$2K$5Kfacility $1,995professional $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
$1,995.26
Median
$1,995.26
Typical High
$2,691.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$1,905.46
Typical High
$2,089.30
BCBS
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$346.74
Typical High
$436.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$181.97
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Medcost
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$1,995.26
Typical High
$3,388.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$407.38
Typical High
$1,995.26
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$125.89
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$125.89
Typical High
$125.89

Where South Carolina 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.

South Carolina· 17th 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.