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Amnio Wrap2

Alaska rates for HCPCS Q4221

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

Rates data updated July 2026.

How much does Amnio Wrap2 cost?

$1,950

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $1,950 for this service. The price depends on where it is billed: about $1,950 from a physician practice, and about $2,455 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,950$302 to $1,995
FacilityA hospital or hospital-owned outpatient department$2,455$1,950 to $3,467

How much rates vary

Facilitymedian $2,455 · 10th to 90th $178 to $3,981Professionalmedian $1,950 · 10th to 90th $195 to $2,884
$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $2,455professional $1,950

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$1,995.26
Typical High
$3,630.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$2,137.96
Typical High
$3,630.78
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$309.03
Typical High
$562.34
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$3,388.44
Typical High
$5,248.07
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,630.27
Typical High
$2,884.03
Providence
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$2,041.74
Typical High
$3,630.78
Providence
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$2,511.89
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$190.55
Typical High
$630.96

Where Alaska sits

The same service costs 8.7 times more in California than in Minnesota. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Alaska $1,950 · 16th of 51
CA $2,042MN $234

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.