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XCelliStem

Montana rates for HCPCS A2004

XCelliStem, 1 mg

Rates data updated July 2026.

How much does XCelliStem cost?

$12.88

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $12.88 for this service. The price depends on where it is billed: about $12.88 from a physician practice, and about $891 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 5 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$12.88$12.59 to $13.18
FacilityA hospital or hospital-owned outpatient department$891$16.98 to $912

How much rates vary

Facilitymedian $891 · 10th to 90th $14 to $912Professionalmedian $13 · 10th to 90th $13 to $891
$20$50$100$200$500$1Kfacility $891professional $13

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
Professional
Modifier
Global
Typical Low
$12.59
Median
$12.88
Typical High
$13.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$588.84
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$588.84
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$933.25
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$933.25
Providence
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$15.49
Typical High
$23.99
Providence
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$79.43
Typical High
$588.84
United
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$12.88

Where Montana sits

Rates are fairly even across states for this service. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Montana· 29th of 51

$12.88

WI $16.60IN $12.59

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.