go back

AmnioText Patch

Nebraska rates for HCPCS Q4247

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

Rates data updated July 2026.

Facilitymedian $603 · 10th–90th $191$2,4550%10%10th90th$603Professionalmedian $2,951 · 10th–90th $676$3,2360%50%10th90th$2,951$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
$128.82
Median
$2,951.21
Typical High
$2,951.21
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$3,162.28
BCBS
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$575.44
Typical High
$602.56
BCBS
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$575.44
Typical High
$602.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$208.93
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$537.03
Typical High
$676.08
Medica
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$1,513.56
Typical High
$2,630.27
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$3,235.94
Typical High
$3,715.35
Midlands
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$660.69
Typical High
$812.83
Midlands
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$208.93
Typical High
$309.03
Midlands
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$630.96
Typical High
$812.83
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$134.90
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$125.89
Typical High
$478.63