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AmnioText Patch

Missouri rates for HCPCS Q4247

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

Rates data updated July 2026.

Facilitymedian $1,820 · 10th–90th $102$3,8900%10%10th90th$1,820Professionalmedian $2,089 · 10th–90th $98$3,1620%20%10th90th$2,089$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
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$3,890.45
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$3,162.28
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$109.65
Typical High
$144.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$144.54
Typical High
$194.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$239.88
Typical High
$380.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$151.36
Medica
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$1,445.44
Typical High
$3,630.78
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$3,235.94
Typical High
$5,011.87
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$125.89
Typical High
$4,897.79
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$125.89
Typical High
$158.49