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AmnioText Patch

Iowa rates for HCPCS Q4247

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

Rates data updated July 2026.

Facilitymedian $3,236 · 10th–90th $631$3,2360%50%10th$3,236Professionalmedian $2,951 · 10th–90th $126$3,3110%20%10th90th$2,951$0.2$1.0$5.0$20.0$100.0$500.0$2.0K

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
$2,951.21
Median
$2,951.21
Typical High
$2,951.21
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$2,951.21
Typical High
$3,715.35
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$245.47
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$562.34
Typical High
$676.08
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$616.60
Typical High
$794.33
Medica
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$1,412.54
Typical High
$2,344.23
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$3,235.94
Typical High
$5,011.87
Midlands
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$660.69
Typical High
$741.31
Midlands
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$239.88
Typical High
$302.00
Midlands
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$812.83
United
Setting
Facility
Modifier
Global
Typical Low
$0.13
Median
$114.82
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$162.18
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$3,235.94
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$3,235.94
Typical High
$3,235.94