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Amnio Wrap2

Kansas rates for HCPCS Q4221

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

Rates data updated October 2026.

How much does Amnio Wrap2 cost?

$1,950

Typical negotiated rate. In Kansas, October 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 $219 from a hospital or other facility.

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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,950$126 to $2,399
FacilityA hospital or hospital-owned outpatient department$219$170 to $1,905

How much rates vary

Facilitymedian $219 · 10th to 90th $170 to $1,995Professionalmedian $1,950 · 10th to 90th $126 to $6,761
$200$500$1K$2K$5Kfacility $219professional $1,950

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$2,691.53
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,949.84
Median
$2,187.76
Typical High
$2,691.53
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$977.24
Median
$1,096.48
Typical High
$1,318.26
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$389.05
Median
$436.52
Typical High
$537.03
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$295.12
Median
$331.13
Typical High
$398.11
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$194.98
Median
$218.78
Typical High
$269.15
Cigna
Setting
Facility
Modifier
None
Typical Low
$144.54
Median
$169.82
Typical High
$467.74
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Medica
Setting
Facility
Modifier
None
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$2,951.21
Medica
Setting
Professional
Modifier
None
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$6,760.83
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89

Where Kansas sits

The same service costs 19.5 times more in Alaska than in North Carolina. 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.

Kansas· 16th of 51

$1,950

AK $2,291NC $117

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.