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Amnio Wrap2

Iowa rates for HCPCS Q4221

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

Rates data updated July 2026.

Facilitymedian $1,950 · 10th–90th $1,950$2,1380%50%90th$1,950Professionalmedian $1,950 · 10th–90th $126$7,5860%50%10th90th$1,950$0.2$1.0$5.0$20.0$100.0$500.0$2.0K

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
$1,949.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$7,585.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$245.47
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$2,187.76
Typical High
$2,570.40
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$1,348.96
Typical High
$1,949.84
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$2,398.83
Typical High
$3,801.89
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$3,388.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,344.23
Typical High
$2,398.83
Midlands
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$239.88
Typical High
$302.00
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$2,630.27
United
Setting
Facility
Modifier
Global
Typical Low
$0.13
Median
$114.82
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$158.49
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$1,949.84
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,949.84
Typical High
$1,949.84