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AlloSkin

Montana rates for HCPCS Q4115

AlloSkin, per sq cm (add-on, list separately in addition to primary procedure)

Rates data updated July 2026.

How much does AlloSkin cost?

$14.13

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $14.13 for this service. The price depends on where it is billed: about $14.13 from a physician practice, and about $20.89 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$14.13$13.18 to $22.39
FacilityA hospital or hospital-owned outpatient department$20.89$14.13 to $22.39

How much rates vary

Facilitymedian $21 · 10th to 90th $10 to $40Professionalmedian $14 · 10th to 90th $13 to $126
$10$20$50$100$200facility $21professional $14

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
$12.88
Median
$14.13
Typical High
$16.22
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$18.62
Typical High
$125.89
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$10.47
Median
$20.89
Typical High
$23.44
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$20.89
Typical High
$23.44
Providence
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$14.13
Typical High
$181.97
Providence
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$60.26
Typical High
$125.89
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89

Where Montana sits

The same service costs 7.6 times more in Minnesota than in Delaware. 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· 14th of 51

$14.13

MN $97.72DE $12.88

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.