go back

Amnio Wrap2

Indiana 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 Indiana, 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 $380 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 $1,995
FacilityA hospital or hospital-owned outpatient department$380$209 to $513

How much rates vary

Facilitymedian $380 · 10th to 90th $141 to $1,995Professionalmedian $1,950 · 10th to 90th $126 to $2,138
$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $380professional $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
$1,949.84
Median
$1,995.26
Typical High
$1,995.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$2,041.74
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$380.19
Typical High
$512.86
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$1,949.84
Typical High
$2,951.21
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$2,344.23
Typical High
$3,548.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$346.74
Typical High
$346.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$131.83
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$257.04
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$138.04

Where Indiana 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.

Indiana $1,950 · 23rd 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.