Amniotic Membrane Graft Pricing with Medicare ASP & MUE Visibility
Q4 2025 Medicare Assigned ASP
top dHCAM with MUE, Q-code & Price
Data reflects CMS Medicare ASP files effective Q4 2025.
The pricing below reflects current Medicare-assigned ASP. To order at these rates and apply available discounts, providers must complete portal activation.
Pricing shown reflects Medicare-assigned ASP. MUE limits apply per CMS policy.
Amniotic membrane graft price
Note: Ordering outside the KOSMD portal does not include access to early-payment discounts, automated re-verification, usage tracking, or billing protection options.
Portal-Based Financial Advantages
- 50% Discount if paid in 30 days
- 45% Discount if paid within 31- 45 days
- 60% Discount if paid within 46-80 days
- 3.2% Billing for skin substitutes
- 6% for Clawback insurance
Important: Ordering outside the KOSMD portal does not include access to early-payment discounts, automated re-verification, usage tracking, or billing protection options.
Discounts and optional services subject to provider agreement.
Operational & Financial Benefits Through Our Ordering Portal
- ✅ One portal to order any of the Medicare assigned Q-coded dHCAM’s
✅ HIPAA compliant
✅ 24 hour prior-authorization determination - ✅ Same day shipping – must order by 3 pM CST
- ✅ We Automatically re-run IVR every month
✅ Pre-payayment discount starts from day of procedure NOT day of order. - ✅ Transparent tracking of all orders, authorizations, shipments, billing & usage
- ✅ Easy upload of usage details at time of procedure for billing accuracy.
- ✅ Option for Bulk order capability & flexible shipping
- ✅ Optional connection to our expert membrane Billing partner who offers a discount AI enhanced billing for all amniotic membrane charges at a rate 3.2%
- ✅ Optional connection to our “Claw-back” insurance partner cost of 6%
