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AmnioArmor

Pennsylvania 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?

$490

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $490 for this service. The price depends on where it is billed: about $490 from a physician practice, and about $490 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$490$126 to $813
FacilityA hospital or hospital-owned outpatient department$490$214 to $813

How much rates vary

Facilitymedian $490 · 10th to 90th $145 to $1,230Professionalmedian $490 · 10th to 90th $126 to $813
$100$500$2K$10K$50Kfacility $490professional $490

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Aetna
Setting
Professional
Modifier
None
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$72.44
Median
$72.44
Typical High
$74.13
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$724.44
Median
$812.83
Typical High
$5,011.87
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$812.83
Typical High
$812.83
Cigna
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$213.80
Typical High
$489.78
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$162.18
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$707.95
Typical High
$831.76
Geisinger
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$151.36
Typical High
$707.95
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Martin's Point
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Martin's Point
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Martin's Point
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$72.44
Median
$72.44
Typical High
$74.13
Martin's Point
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$588.84
Median
$758.58
Typical High
$1,122.02
United
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$125.89
Typical High
$165.96

Where Pennsylvania 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.

Pennsylvania· 22nd of 51

$490

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.