go back

Amnio Wrap2

Kansas rates for HCPCS Q4221

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

Rates data updated July 2026.

Facilitymedian $2,042 · 10th–90th $102$2,8180%20%10th90th$2,042Professionalmedian $1,995 · 10th–90th $126$2,3990%20%10th90th$1,995$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$2,290.87
Median
$2,290.87
Typical High
$2,290.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$1,995.26
Typical High
$2,754.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$208.93
Typical High
$467.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$2,290.87
Typical High
$5,370.32
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$6,760.83
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$154.88
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$131.83