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AmnioArmor

Virginia 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?

$513

Typical negotiated rate. In Virginia, October 2026.

Insurers have agreed to pay about $513 for this service. The price depends on where it is billed: about $513 from a physician practice, and about $708 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$513$126 to $776
FacilityA hospital or hospital-owned outpatient department$708$316 to $1,202

How much rates vary

Facilitymedian $708 · 10th to 90th $224 to $3,162Professionalmedian $513 · 10th to 90th $126 to $776
$100$200$500$1K$2K$5K$10Kfacility $708professional $513

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
$512.86
Aetna
Setting
Professional
Modifier
None
Typical Low
$489.78
Median
$512.86
Typical High
$512.86
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$245.47
Median
$257.04
Typical High
$257.04
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$97.72
Median
$102.33
Typical High
$102.33
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$72.44
Median
$77.62
Typical High
$77.62
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$48.98
Median
$51.29
Typical High
$51.29
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
CareFirst
Setting
Professional
Modifier
None
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Cigna
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$239.88
Typical High
$331.13
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$158.49
Typical High
$891.25
Medcost
Setting
Facility
Modifier
None
Typical Low
$489.78
Median
$489.78
Typical High
$776.25
Medcost
Setting
Professional
Modifier
None
Typical Low
$109.65
Median
$109.65
Typical High
$933.25
Sentara
Setting
Facility
Modifier
None
Typical Low
$501.19
Median
$912.01
Typical High
$10,232.93
Sentara
Setting
Professional
Modifier
None
Typical Low
$501.19
Median
$707.95
Typical High
$1,318.26
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$134.90

Where Virginia 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.

Virginia· 4th of 51

$513

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.