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Zenith Amniotic Membrane

Minnesota 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?

$107

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $107 for this service. The price depends on where it is billed: about $102 from a physician practice, and about $182 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$102$75.86 to $126
FacilityA hospital or hospital-owned outpatient department$182$95.50 to $234

How much rates vary

Facilitymedian $182 · 10th to 90th $71 to $263Professionalmedian $102 · 10th to 90th $65 to $126
$100$200$500facility $182professional $102

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
$616.60
BCBS
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$177.83
Typical High
$257.04
BCBS
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$107.15
Typical High
$125.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$194.98
Typical High
$269.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$85.11
Typical High
$93.33
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$186.21
Typical High
$275.42
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$100.00
Medica
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$181.97
Medica
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$83.18
Typical High
$112.20
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$263.03

Where Minnesota 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.

Minnesota· 5th of 51

$107

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.