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AmnioArmor

Alaska rates for HCPCS Q4188

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

Rates data updated October 2026.

How much does AmnioArmor cost?

$631

Typical negotiated rate. In Alaska, October 2026.

Insurers have agreed to pay about $631 for this service. The price depends on where it is billed: about $562 from a physician practice, and about $1,288 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$562$200 to $912
FacilityA hospital or hospital-owned outpatient department$1,288$490 to $1,585

How much rates vary

Facilitymedian $1,288 · 10th to 90th $186 to $1,950Professionalmedian $562 · 10th to 90th $191 to $912
$100$200$500$1K$2Kfacility $1,288professional $562

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
Aetna
Setting
Professional
Modifier
None
Typical Low
$501.19
Median
$912.01
Typical High
$912.01
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$251.19
Median
$457.09
Typical High
$457.09
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$100.00
Median
$181.97
Typical High
$181.97
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$75.86
Median
$134.90
Typical High
$134.90
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$50.12
Median
$91.20
Typical High
$91.20
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Moda Health
Setting
Facility
Modifier
None
Typical Low
$489.78
Median
$912.01
Typical High
$1,288.25
Moda Health
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$645.65
Typical High
$912.01
Moda Health
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
Moda Health
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Moda Health
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
Moda Health
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$1,380.38
Median
$1,584.89
Typical High
$2,137.96
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$933.25
Median
$977.24
Typical High
$1,174.90
Providence
Setting
Facility
Modifier
None
Typical Low
$128.82
Median
$128.82
Typical High
$186.21
Providence
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$125.89
Typical High
$436.52
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$190.55
Typical High
$346.74

Where Alaska sits

The same service costs 7.1 times more in Wyoming 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.

Alaska· 2nd of 51

$631

WY $832NC $117

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.