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AmnioText Patch

South Dakota rates for HCPCS Q4247

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

Rates data updated July 2026.

How much does AmnioText Patch cost?

$3,162

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $3,162 for this service. The price depends on where it is billed: about $3,162 from a physician practice, and about $3,020 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3,162$676 to $3,162
FacilityA hospital or hospital-owned outpatient department$3,020$1,660 to $3,236

How much rates vary

Facilitymedian $3,020 · 10th to 90th $525 to $3,236Professionalmedian $3,162 · 10th to 90th $537 to $3,715
$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $3,020professional $3,162

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

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
$2,951.21
Median
$3,162.28
Typical High
$3,715.35
Cigna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$724.44
Typical High
$891.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$676.08
Medica
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$2,137.96
Typical High
$2,818.38
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$3,235.94
Typical High
$5,011.87
Midlands
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
Midlands
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$204.17
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$3,162.28
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$295.12
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
$3,235.94
Median
$3,235.94
Typical High
$3,235.94

Where South Dakota sits

The same service costs 12.3 times more in South Dakota than in Minnesota. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

South Dakota $3,162 · 1st of 51
SD $3,162MN $257

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.