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AmnioArmor

Michigan rates for HCPCS Q4188

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

Rates data updated July 2026.

Facilitymedian $501 · 10th–90th $102$1,1220%20%40%10th90th$501Professionalmedian $490 · 10th–90th $120$5130%20%40%10th90th$490$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$512.86
BCBS
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$120.23
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$426.58
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,122.02
Typical High
$3,019.95
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$501.19
Typical High
$1,348.96
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$407.38
Typical High
$426.58
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$977.24
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$134.90