HCPCS Q4280
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Xcell amnio matrix per sq cm
Low
$66
Average
$204
Median
$161
High
$619
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
20 payers; the 90th percentile is 2.5× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare facility · case rate · outpatient · +2 other terms | 17 | $130 | $213 | $283 | 133% | — | $49 – $1.4k |
| 2 | Aetna facility · case rate · outpatient · +2 other terms | 13 | $131 | $782 | $1.8k | 233% | — | $119 – $5.9k |
| 3 | Blue Cross Blue Shield case rate · outpatient · +1 other terms | 11 | $125 | $17 | $26 | 159% | — | $5 – $133 |
| 4 | Humana facility · case rate · outpatient · +1 other terms | 11 | $127 | $131 | $9 | 7% | — | $124 – $160 |
| 5 | WellCare case rate · outpatient · +1 other terms | 10 | $133 | $134 | $2 | 2% | — | $131 – $138 |
| 6 | Molina case rate · outpatient · +1 other terms | 9 | $133 | $133 | $1 | 1% | — | $131 – $133 |
| 7 | Ambetter facility · case rate · outpatient | 4 | $153 | $185 | $57 | 31% | — | $150 – $284 |
| 8 | Anthem facility · case rate · outpatient | 4 | $249 | $257 | $135 | 52% | — | $49 – $501 |
| 9 | Caresource facility · case rate · outpatient | 4 | $254 | $172 | $101 | 59% | — | $49 – $254 |
| 10 | Devoted facility · case rate · outpatient | 4 | $131 | $132 | $4 | 3% | — | $127 – $137 |
← Hospitals reporting HCPCS Q4280 · Snapshot 20261113T090226Z-3ce6c0b8