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Amnio Wrap2

Connecticut 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 Connecticut, 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 $245 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 5 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$1,950 to $2,042
FacilityA hospital or hospital-owned outpatient department$245$145 to $2,042

How much rates vary

Facilitymedian $245 · 10th to 90th $145 to $3,236Professionalmedian $1,950 · 10th to 90th $148 to $2,138
$100$200$500$1K$2K$5Kfacility $245professional $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
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$3,235.94
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,949.84
Typical High
$2,137.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$1,905.46
Typical High
$1,949.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$144.54
Typical High
$245.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$2,041.74
Typical High
$2,137.96
United
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$125.89
Typical High
$2,884.03

Where Connecticut sits

The same service costs 8.7 times more in California than in Minnesota. 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.

Connecticut· 15th of 51

$1,950

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.