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Zenith Amniotic Membrane

Iowa rates for HCPCS Q4253

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

Rates data updated July 2026.

How much does Zenith Amniotic Membrane cost?

$75.86

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $75.86 for this service. The price depends on where it is billed: about $75.86 from a physician practice, and about $75.86 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$75.86$75.86 to $126
FacilityA hospital or hospital-owned outpatient department$75.86$75.86 to $75.86

How much rates vary

Facilitymedian $76 · 10th to 90th $76 to $240Professionalmedian $76 · 10th to 90th $76 to $2,089
$100$200$500$1K$2Kfacility $76professional $76

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
$75.86
Median
$75.86
Typical High
$75.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$2,089.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$245.47
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$91.20
Typical High
$125.89
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$316.23
Typical High
$645.65
Medica
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$128.82
Typical High
$1,148.15
Medica
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$1,148.15
Midlands
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$100.00
Typical High
$1,174.90
Midlands
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$239.88
Typical High
$302.00
Midlands
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$1,174.90
Typical High
$1,174.90
United
Setting
Facility
Modifier
Global
Typical Low
$0.13
Median
$114.82
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$141.25
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$75.86
Typical High
$75.86

Where Iowa sits

The same service costs 2.5 times more in Alaska than in Maryland. 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.

Iowa· 46th of 51

$75.86

AK $191MD $75.86

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.