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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 October 2026.

How much does AmnioArmor cost?

$501

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $501 for this service. The price depends on where it is billed: about $501 from a physician practice, and about $501 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$501$126 to $501
FacilityA hospital or hospital-owned outpatient department$501$135 to $1,318

How much rates vary

Facilitymedian $501 · 10th to 90th $135 to $1,445Professionalmedian $501 · 10th to 90th $120 to $562
$200$500$1Kfacility $501professional $501

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
$501.19
Median
$512.86
Typical High
$512.86
Aetna
Setting
Professional
Modifier
None
Typical Low
$501.19
Median
$501.19
Typical High
$512.86
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$100.00
Median
$100.00
Typical High
$102.33
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$50.12
Median
$50.12
Typical High
$51.29
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$120.23
Typical High
$120.23
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$199.53
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$134.90
Median
$501.19
Typical High
$1,445.44
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$489.78
Median
$501.19
Typical High
$645.65
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Health Alliance Plan
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Health Alliance Plan
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Priority Health
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$181.97
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$134.90

Where Michigan 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.

Michigan· 6th of 51

$501

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.