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Amnio Wrap2

Maine 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 Maine, July 2026.

Insurers have agreed to pay about $1,950 for this service. Most negotiated rates run $1,950 to $1,950.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $145 · 10th to 90th $145 to $363Professionalmedian $1,950 · 10th to 90th $126 to $1,995
$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $145professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$2,041.74
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$147.91
Typical High
$1,949.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$363.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$1,949.84
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$1,949.84
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$186.21
Typical High
$1,949.84

Where Maine 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.

Maine $1,950 · 48th 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.