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Zenith Amniotic Membrane

New York 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?

$79.43

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $79.43 for this service. The price depends on where it is billed: about $79.43 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 8 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$79.43$75.86 to $135
FacilityA hospital or hospital-owned outpatient department$75.86$75.86 to $138

How much rates vary

Facilitymedian $76 · 10th to 90th $76 to $339Professionalmedian $79 · 10th to 90th $76 to $468
$100$500$2K$10K$50Kfacility $76professional $79

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
$79.43
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$616.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$165.96
Typical High
$977.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$537.03
Typical High
$1,445.44
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$831.76
Typical High
$977.24
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$79.43
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$79.43
Typical High
$79.43
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$158.49
Typical High
$251.19
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$138.04
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$134.90
Typical High
$676.08
Univera
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$83.18
Univera
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$79.43
Typical High
$79.43

Where New York 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.

New York· 21st of 51

$79.43

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.