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Amnio Wrap2

Nationwide rates for HCPCS Q4221

Amnio Wrap2, per sq cm (add-on, list separately in addition to primary procedure)

Rates data updated July 2026.

Facilitymedian $2,042 · 10th–90th $158$4,8980%20%40%10th90th$2,042Professionalmedian $1,950 · 10th–90th $126$2,2910%50%10th90th$1,950$0.1$2.0$50.0$1.0K$20.0K$500.0K

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
$1,949.84
Median
$1,949.84
Typical High
$2,290.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$2,137.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$2,454.71
Typical High
$6,165.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$1,949.84
Typical High
$2,951.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$239.88
Typical High
$4,073.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$2,187.76
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$125.89
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$1,995.26