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HCPCS Q4168

Amnioband, 1 mg

Current codeSkin Substitute Products23 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$3,229 – $10,8972 plans$1,614 – $5,128$4,036 – $12,820
Deaconess Medical CenterSpokaneFile dated 2026-08-27$2,866 – $9,3592 plans$1,614 – $5,128$4,036 – $12,820
Highline Medical CenterBurienFile dated 2026-02-28$3,809 – $15,3395 plans$2,705 – $5,204$8,859 – $17,044
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$2,640 – $10,2566 plans$1,614 – $5,128$4,036 – $12,820
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$2,381 – $9,3593 plans$1,614 – $5,128$4,036 – $12,820
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$2,381 – $9,3593 plans$1,614 – $5,128$4,036 – $12,820
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$2,381 – $9,3593 plans$1,614 – $5,128$4,036 – $12,820
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$2,906 – $9,2302 plans$1,614 – $5,128$4,036 – $12,820
St Anthony HospitalGig HarborFile dated 2026-02-28$4,872 – $12,7833 plans$2,694 – $5,184$8,859 – $17,044
St Clare HospitalLakewoodFile dated 2026-02-28$4,872 – $12,7833 plans$2,554 – $4,913$8,859 – $17,044
St Elizabeth HospitalEnumclawFile dated 2026-02-28$3,544 – $15,3396 plans$3,130 – $6,023$8,859 – $17,044
St Francis Community HospitalFederal WayFile dated 2026-02-28$4,872 – $12,7833 plans$2,780 – $5,349$8,859 – $17,044
St Joseph Medical CenterTacomaFile dated 2026-02-28$4,872 – $12,7833 plans$2,934 – $5,645$8,859 – $17,044
St Michael Medical CenterSilverdaleFile dated 2026-02-28$5,581 – $15,33910 plans$3,910 – $7,522$8,859 – $17,044
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$2,381 – $9,3593 plans$1,614 – $5,128$4,036 – $12,820

Lowest and highest amounts each hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

CMS publishes no national amount for this code.