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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 October 2026.

How much does AlloSkin RT cost?

$81.28

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $81.28 for this service. The price depends on where it is billed: about $81.28 from a physician practice, and about $126 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$81.28$81.28 to $126
FacilityA hospital or hospital-owned outpatient department$126$81.28 to $158

How much rates vary

Facilitymedian $126 · 10th to 90th $81 to $209Professionalmedian $81 · 10th to 90th $79 to $126
$20$50$100$200facility $126professional $81

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$74.13
Typical High
$83.18
Cigna
Setting
Facility
Modifier
None
Typical Low
$81.28
Median
$81.28
Typical High
$204.17
Cigna
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$13.49
Median
$158.49
Typical High
$208.93
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$141.25
Typical High
$158.49
Providence
Setting
Facility
Modifier
None
Typical Low
$81.28
Median
$81.28
Typical High
$204.17
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$81.28
Typical High
$81.28
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89

Where Montana sits

The same service costs 2.0 times more in North Dakota than in Maryland. 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· 40th of 51

$81.28

ND $141MD $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.