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AmnioArmor

Oregon 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 $490$6310%50%90th$490Professionalmedian $275 · 10th–90th $126$4900%20%10th90th$275$100.0$500.0$2.0K$10.0K$50.0K$200.0K$1.0M

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
$117.49
Median
$117.49
Typical High
$117.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$524.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$489.78
Typical High
$977.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$151.36
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$263.03
Typical High
$323.59
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$489.78
Typical High
$891.25
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$251.19
Typical High
$316.23
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$537.03
Providence
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$489.78
Typical High
$977.24
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$125.89
Typical High
$489.78
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89