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AmnioArmor

Hawaii rates for HCPCS Q4188

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

Rates data updated July 2026.

Professionalmedian $490 · 10th–90th $182$5370%50%10th90th$490$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$537.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$354.81
Typical High
$436.52
HMSA
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$524.81
Typical High
$575.44
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$173.78
Typical High
$218.78
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$416.87