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Amnio Wrap2

Minnesota rates for HCPCS Q4221

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

Rates data updated July 2026.

Facilitymedian $3,020 · 10th–90th $257$6,4570%10%20%10th90th$3,020Professionalmedian $182 · 10th–90th $107$2,0420%20%10th90th$182$0.2$2.0$20.0$200.0$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
$2,137.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$1,995.26
Typical High
$3,162.28
BCBS
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$125.89
Typical High
$1,737.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$5,370.32
Typical High
$7,413.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,238.72
Typical High
$2,630.27
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$5,248.07
Typical High
$7,762.47
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,187.76
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$3,548.13
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$2,630.27
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$1,737.80