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AlloSkin RT

Montana rates for HCPCS Q4123

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

Rates data updated July 2026.

How much does AlloSkin RT cost?

$77.62

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $77.62 for this service. The price depends on where it is billed: about $79.43 from a physician practice, and about $66.07 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$79.43$70.79 to $83.18
FacilityA hospital or hospital-owned outpatient department$66.07$66.07 to $81.28

How much rates vary

Facilitymedian $66 · 10th to 90th $25 to $115Professionalmedian $79 · 10th to 90th $66 to $126
$20.0$50.0$100.0$200.0facility $66professional $79

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
$70.79
Median
$79.43
Typical High
$89.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$81.28
Typical High
$125.89
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$66.07
Typical High
$74.13
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$66.07
Typical High
$74.13
Providence
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$81.28
Typical High
$181.97
Providence
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$81.28
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 1.9 times more in Alaska than in Massachusetts. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Montana $77.62 · 12th of 51
AK $132MA $70.79

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.