HCPCS Q4139
Amniomatrix or biodmatrix, injectable, 1 cc
Current codeSkin Substitute Products12 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $1,365 – $4,037 | $1,950 – $5,768 |
| Providence Centralia Hospital | — | $2,183 – $6,627 | $4,198 – $12,744 |
| Providence Holy Family Hospital | — | $1,365 – $4,037 | $1,950 – $5,768 |
| Providence Mount Carmel Hospital | — | $1,302 – $3,856 | $1,860 – $5,508 |
| Providence Regional Medical Center Everett | — | $2,344 – $6,636 | $4,508 – $12,762 |
| Providence St Joseph Hospital | — | $1,302 – $3,856 | $1,860 – $5,508 |
| Providence St Mary Medical Center | — | $1,381 – $3,679 | $1,972 – $5,256 |
| Providence St Peter Hospital | — | $2,183 – $6,627 | $4,198 – $12,744 |
| Swedish Edmonds Hospital | — | $1,423 – $3,940 | $2,964 – $8,208 |
| Swedish Issaquah | — | $1,423 – $3,940 | $2,964 – $8,208 |
| Swedish Medical Center | — | $1,423 – $3,940 | $2,964 – $8,208 |
| Swedish Medical Center / Cherry Hill | — | $1,423 – $3,940 | $2,964 – $8,208 |
Medicare (traditional) reference
CMS publishes no national amount for this code.