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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 July 2026.

Facilitymedian $708 · 10th–90th $339$1,3180%10%20%10th90th$708Professionalmedian $501 · 10th–90th $126$1,0230%20%10th90th$501$2.0$10.0$50.0$200.0$1.0K$5.0K

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
$489.78
Median
$512.86
Typical High
$512.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$616.60
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$1,380.38
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$758.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$251.19
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$173.78
Typical High
$891.25
Medcost
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$512.86
Typical High
$977.24
Medcost
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$489.78
Typical High
$933.25
Sentara
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$812.83
Typical High
$1,862.09
Sentara
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$812.83
Typical High
$1,862.09
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$208.93
Typical High
$478.63
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$134.90