go back

AmnioText Patch

Virginia rates for HCPCS Q4247

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

Rates data updated July 2026.

Facilitymedian $214 · 10th–90th $126$3,7150%20%10th90th$214Professionalmedian $3,020 · 10th–90th $126$3,7150%20%10th90th$3,020$2.0$10.0$50.0$200.0$1.0K$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
$3,162.28
Median
$3,162.28
Typical High
$3,162.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$3,019.95
Typical High
$3,162.28
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$5,248.07
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$251.19
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$173.78
Typical High
$3,311.31
Medcost
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$3,311.31
Typical High
$5,011.87
Medcost
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$3,715.35
Typical High
$3,715.35
Sentara
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$151.36
Typical High
$524.81
Sentara
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$151.36
Typical High
$524.81
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$208.93
Typical High
$478.63
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$134.90