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Amnio Wound

Massachusetts rates for HCPCS Q4181

Amnio Wound, per sq cm (add-on, list separately in addition to primary procedure)

Rates data updated October 2026.

How much does Amnio Wound cost?

$126

Typical negotiated rate. In Massachusetts, October 2026.

Insurers have agreed to pay about $126 for this service. The price depends on where it is billed: about $126 from a physician practice, and about $550 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$126$126 to $126
FacilityA hospital or hospital-owned outpatient department$550$204 to $3,631

How much rates vary

Facilitymedian $550 · 10th to 90th $151 to $5,129Professionalmedian $126 · 10th to 90th $89 to $661
$100$200$500$1K$2K$5K$10Kfacility $550professional $126

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Aetna
Setting
Professional
Modifier
None
Typical Low
$89.13
Median
$89.13
Typical High
$97.72
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$43.65
Median
$43.65
Typical High
$48.98
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$17.78
Median
$17.78
Typical High
$19.50
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$13.18
Median
$13.18
Typical High
$14.45
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$8.71
Median
$8.71
Typical High
$9.77
AllWays Health Partners
Setting
Facility
Modifier
None
Typical Low
$204.17
Median
$316.23
Typical High
$331.13
AllWays Health Partners
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$660.69
Cigna
Setting
Facility
Modifier
None
Typical Low
$162.18
Median
$269.15
Typical High
$549.54
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Fallon Health
Setting
Facility
Modifier
None
Typical Low
$83.18
Median
$199.53
Typical High
$6,918.31
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$169.82
Mass General Brigham
Setting
Facility
Modifier
None
Typical Low
$204.17
Median
$316.23
Typical High
$331.13
Mass General Brigham
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$660.69
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$169.82
Well Sense
Setting
Facility
Modifier
None
Typical Low
$2,511.89
Median
$3,467.37
Typical High
$5,128.61
Well Sense
Setting
Professional
Modifier
None
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$3,019.95

Where Massachusetts sits

The same service costs 2.3 times more in North Dakota than in North Carolina. 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.

Massachusetts· 17th of 51

$126

ND $219NC $95.50

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.