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Montana rates for HCPCS Q4127

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.17 / $74.65 / $79.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.25 / $90.25 / $90.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.48 / $90.25 / $90.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.48 / $83.39 / $90.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.30 / $74.30 / $96.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.48 / $68.48 / $68.48