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Amnio Wrap2

Virginia 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 Virginia, July 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 $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$1,950$1,905 to $2,042
FacilityA hospital or hospital-owned outpatient department$1,950$1,660 to $2,399

How much rates vary

Facilitymedian $1,950 · 10th to 90th $331 to $3,467Professionalmedian $1,950 · 10th to 90th $126 to $2,512
$10.0$100.0$1.0K$10.0Kfacility $1,950professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$2,041.74
Typical High
$2,041.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$2,398.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$3,388.44
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$3,019.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$251.19
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$173.78
Typical High
$2,137.96
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$2,041.74
Typical High
$3,311.31
Medcost
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$1,949.84
Typical High
$1,949.84
Sentara
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,905.46
Typical High
$4,073.80
Sentara
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,905.46
Typical High
$4,265.80
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$208.93
Typical High
$478.63
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$134.90

Where Virginia 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.

Virginia $1,950 · 33rd 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.