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AmnioText Patch

Louisiana rates for HCPCS Q4247

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

Rates data updated October 2026.

How much does AmnioText Patch cost?

$141

Typical negotiated rate. In Louisiana, October 2026.

Insurers have agreed to pay about $141 for this service. The price depends on where it is billed: about $126 from a physician practice, and about $3,467 from a hospital or other facility.

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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$126$126 to $3,715
FacilityA hospital or hospital-owned outpatient department$3,467$3,467 to $3,467

How much rates vary

Facilitymedian $3,467 · 10th to 90th $339 to $3,467Professionalmedian $126 · 10th to 90th $126 to $3,715
$100$200$500$1K$2Kfacility $3,467professional $126

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
None
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,819.70
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
BCBS Louisiana
Setting
Facility
Modifier
None
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
BCBS Louisiana
Setting
Professional
Modifier
None
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
Cigna
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$239.88
Typical High
$346.74
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
United
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$125.89
Typical High
$134.90

Where Louisiana sits

The same service costs 26.9 times more in Wyoming than in North Carolina. 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.

Louisiana· 34th of 51

$141

WY $3,162NC $117

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.