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Zenith Amniotic Membrane

Nebraska 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?

$81.28

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $81.28 for this service. The price depends on where it is billed: about $77.62 from a physician practice, and about $129 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$77.62$75.86 to $85.11
FacilityA hospital or hospital-owned outpatient department$129$83.18 to $191

How much rates vary

Facilitymedian $129 · 10th to 90th $78 to $309Professionalmedian $78 · 10th to 90th $76 to $138
$100$200$500$1K$2Kfacility $129professional $78

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
$128.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$107.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$81.28
Typical High
$85.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$85.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$208.93
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$100.00
Typical High
$138.04
Medica
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$128.82
Typical High
$467.74
Medica
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$83.18
Typical High
$1,148.15
Midlands
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$100.00
Typical High
$177.83
Midlands
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$208.93
Typical High
$309.03
Midlands
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$177.83
Typical High
$208.93
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
$263.03

Where Nebraska 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.

Nebraska· 16th of 51

$81.28

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.