HCPCS Q4168
Amnioband, 1 mg
Current codeSkin Substitute Products23 hospitals with prices
What Washington hospitals publish for this code
Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | $1,614 – $5,128 | $4,036 – $12,820 |
| Deaconess Medical Center | — | $1,614 – $5,128 | $4,036 – $12,820 |
| Highline Medical Center | — | $2,705 – $5,204 | $8,859 – $17,044 |
| Mary Bridge Children's Hospital | — | $1,614 – $5,128 | $4,036 – $12,820 |
| MultiCare Auburn Medical Center | — | $1,614 – $5,128 | $4,036 – $12,820 |
| MultiCare Covington Medical Center | — | $1,614 – $5,128 | $4,036 – $12,820 |
| MultiCare Good Samaritan Hospital | — | $1,614 – $5,128 | $4,036 – $12,820 |
| MultiCare Valley Hospital | — | $1,614 – $5,128 | $4,036 – $12,820 |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | — | — |
| Providence Holy Family Hospital | — | — | — |
| Providence Regional Medical Center Everett | — | — | — |
| St Anthony Hospital | — | $2,694 – $5,184 | $8,859 – $17,044 |
| St Clare Hospital | — | $2,554 – $4,913 | $8,859 – $17,044 |
| St Elizabeth Hospital | $1,506 – $3,528 | $3,130 – $6,023 | $8,859 – $17,044 |
| St Francis Community Hospital | — | $2,780 – $5,349 | $8,859 – $17,044 |
| St Joseph Medical Center | — | $2,934 – $5,645 | $8,859 – $17,044 |
| St Michael Medical Center | — | $3,910 – $7,522 | $8,859 – $17,044 |
| Swedish Edmonds Hospital | — | — | — |
| Swedish Issaquah | — | — | — |
| Swedish Medical Center | — | — | — |
| Swedish Medical Center / Cherry Hill | — | — | — |
| Tacoma General Allenmore Hospital | — | $1,614 – $5,128 | $4,036 – $12,820 |
Medicare (traditional) reference
CMS publishes no national amount for this code.