go back

Amnio Wrap2

Oregon 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?

$1,862

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $1,862 for this service. The price depends on where it is billed: about $288 from a physician practice, and about $1,950 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 8 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$288$158 to $1,950
FacilityA hospital or hospital-owned outpatient department$1,950$1,862 to $1,950

How much rates vary

Facilitymedian $1,950 · 10th to 90th $1,862 to $2,512Professionalmedian $288 · 10th to 90th $126 to $2,042
$100.0$1.0K$10.0K$100.0K$1.0Mfacility $1,950professional $288

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
$117.49
Median
$117.49
Typical High
$117.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$2,290.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$269.15
Typical High
$4,073.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$151.36
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$263.03
Typical High
$323.59
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$1,949.84
Typical High
$2,818.38
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$251.19
Typical High
$346.74
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$1,949.84
Typical High
$2,137.96
Providence
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$2,041.74
Typical High
$3,090.30
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$125.89
Typical High
$2,511.89
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89

Where Oregon 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.

Oregon $1,862 · 49th 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.