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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.

Facilitymedian $3,020 · 10th–90th $525$3,2360%20%40%10th90th$3,020Professionalmedian $3,162 · 10th–90th $537$3,7150%20%40%10th90th$3,162$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
$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