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AmnioArmor

Tennessee 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 Tennessee, October 2026.

Insurers have agreed to pay about $490 for this service. Most negotiated rates run $126 to $1,148.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $158 · 10th to 90th $141 to $224Professionalmedian $490 · 10th to 90th $126 to $1,950
$100$200$500$1K$2Kfacility $158professional $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
$72.44
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
BCBS Tennessee
Setting
Professional
Modifier
None
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,148.15
Cigna
Setting
Facility
Modifier
None
Typical Low
$141.25
Median
$158.49
Typical High
$223.87
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$1,949.84
Median
$2,089.30
Typical High
$2,089.30
United
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$125.89
Typical High
$125.89

Where Tennessee 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.

Tennessee· 13th 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.