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AmnioArmor

New York rates for HCPCS Q4188

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

Rates data updated July 2026.

Facilitymedian $490 · 10th–90th $138$5890%50%10th90th$490Professionalmedian $490 · 10th–90th $135$8320%20%40%10th90th$490$100.0$500.0$2.0K$10.0K$50.0K

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
$489.78
Median
$489.78
Typical High
$489.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$512.86
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$794.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$165.96
Typical High
$831.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$138.04
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$537.03
Typical High
$1,258.93
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$707.95
Typical High
$831.76
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$501.19
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$501.19
Typical High
$501.19
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$912.01
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$138.04
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$489.78
Typical High
$977.24
Univera
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$537.03
Univera
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$501.19
Typical High
$501.19