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Dermacyte Amniotic Membrane Allograft

Nebraska rates for HCPCS Q4248

Dermacyte Amniotic Membrane Allograft, per sq cm (add-on, list separately in addition to primary procedure)

Rates data updated July 2026.

How much does Dermacyte Amniotic Membrane Allograft cost?

$562

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $562 for this service. The price depends on where it is billed: about $562 from a physician practice, and about $631 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 6 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$562$550 to $617
FacilityA hospital or hospital-owned outpatient department$631$229 to $2,818

How much rates vary

Facilitymedian $631 · 10th to 90th $191 to $4,786Professionalmedian $562 · 10th to 90th $550 to $3,090
$200$500$1K$2K$5Kfacility $631professional $562

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
$128.82
Median
$549.54
Typical High
$549.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$776.25
BCBS
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$602.56
Typical High
$630.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$602.56
Typical High
$630.96
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
$1,288.25
Typical High
$3,388.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$3,388.44
Typical High
$5,370.32
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$2,818.38
Typical High
$3,388.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$3,388.44
Typical High
$3,388.44
Midlands
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$208.93
Typical High
$309.03
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$3,235.94
Typical High
$7,079.46
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

Where Nebraska sits

The same service costs 2.7 times more in South Dakota than in Minnesota. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Nebraska· 7th of 51

$562

SD $692MN $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.