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AmnioArmor

Rhode Island 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?

$257

Typical negotiated rate. In Rhode Island, October 2026.

Insurers have agreed to pay about $257 for this service. Most negotiated rates run $126 to $513.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $269 · 10th to 90th $166 to $372Professionalmedian $126 · 10th to 90th $126 to $513
$200$500$1Kfacility $269professional $126

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
Professional
Modifier
None
Typical Low
$501.19
Median
$512.86
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
$102.33
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
$51.29
Typical High
$51.29
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$234.42
Median
$281.84
Typical High
$371.54
Cigna
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$165.96
Typical High
$257.04
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89

Where Rhode Island 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.

Rhode Island· 28th of 51

$257

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.