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AmnioText Patch

California rates for HCPCS Q4247

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

Rates data updated July 2026.

Facilitymedian $661 · 10th–90th $525$3,0900%20%40%10th90th$661Professionalmedian $2,512 · 10th–90th $126$3,1620%20%40%10th90th$2,512$0.1$2.0$50.0$1.0K$20.0K$500.0K

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
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$3,019.95
Typical High
$3,019.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$3,019.95
Typical High
$3,162.28
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$660.69
Typical High
$1,698.24
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$549.54
Typical High
$2,951.21
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$100.00
Typical High
$134.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$218.78
Typical High
$295.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$154.88
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$524.81
Typical High
$630.96
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$173.78
Typical High
$331.13
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$7,413.10
Typical High
$7,413.10
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$10,964.78
Median
$16,595.87
Typical High
$16,595.87
Molina
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$588.84
Providence
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$524.81
Typical High
$4,265.80
Providence
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$630.96
The Alliance
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$524.81
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$41.69
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$416.87