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AmnioText Patch

Alaska rates for HCPCS Q4247

AmnioText Patch, per sq cm (add-on, list separately in addition to primary procedure)

Rates data updated July 2026.

Facilitymedian $3,162 · 10th–90th $178$5,8880%10%10th90th$3,162Professionalmedian $741 · 10th–90th $195$3,7150%20%10th90th$741$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$3,019.95
Typical High
$5,011.87
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
$3,162.28
Typical High
$5,495.41
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$309.03
Typical High
$537.03
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$5,128.61
Typical High
$8,128.31
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$4,073.80
Typical High
$4,466.84
Providence
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$3,162.28
Typical High
$5,495.41
Providence
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$630.96
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$190.55
Typical High
$524.81