go back

Montana rates for HCPCS Q4118

MatriStem micromatrix, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $2.77 / $2.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.92 / $2.92 / $2.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.92 / $2.92
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $2.92 / $3.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.76 / $2.76 / $3.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $2.54