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Amnio-maxx DL, per square centimeter

Amnio-Maxx is a dual layered, dehydrated, amniotic tissue membrane graft derived from Cesarean Section donors. The Amnio-Maxx Lite version is a single layer. 

INTENDED USES: The product is for wound covering, applied directly to the wound bed. Both products are used for chronic, non-healing wounds such as diabetic foot ulcers and venous leg ulcers or soft tissue defects. 

CLAIMED BENEFITS: Amniotic tissue consists primarily of fibrillary and membranous collagens, elastin, and a mix cytokines and growth factors that provide the properties unique to placental tissues.

OPTION: There are various sizes of each product; the provider uses the size that most closely matches the wound size. Once the graft has been applied, it is covered with a bandage. Amnio-Maxx and Amnio-Maxx-Lite both come in sterile pouches. 


AMN-23: Amnio-maxx DL, 2x3cm: Q4239

AMN-44: Amnio-maxx DL, 4x4cm: Q4239

AMN-46: Amnio-maxx DL, 4x6cm: Q4239

AMN-48: Amnio-maxx DL, 4x8cm: Q4239

Product Information

Pricing and Suppliers

Is it covered by Medicare Part B?

How can I purchase this product?

If you have Medicare Part B coverage, you can purchase this product at a store that accepts Medicare. You need a written order prescribed by a physician enrolled in Medicare. You will need to pay deductibles and/or co-payment. The actual copayment amount can vary by your state. The table below illustrates the highest (ceiling) and lowest (floor) expected co-payment across the country.

The table below shows highest and lowest Medicare pricing across the country
DescriptionMedicare DME co-payment Min / Max
Amnio-maxx or amnio-maxx lite, per square centimeter $0.00 / $0.00
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Estimated out-of-pocket cost:

If your insurance does not cover this product, you can purchase it directly from any store. A list of online stores and prices is provided below for your convenience. For updated prices, find it on the internet at https://woundreference.com/app/product?id=3700

Other Stores

* Indicates whether store accepts Medicare or commercial insurance, but may not apply to this specific product. See coding, coverage and reimubursement for more information.
The information on this handout is for your convenience and educational purposes only. All product claims and specifications are those of the product suppliers. It does not constitute medical advice or a guarantee for reimbursement. Prices may have changed and suppliers may not have product in stock. Please confirm accuracy and appropriateness of information with insurance carrier and product supplier. Clinician and WoundReference assume no liability for inaccuracies or misstatements about products and insurance coverage.