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AlloSkin AC

Montana rates for HCPCS Q4141

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

Rates data updated July 2026.

How much does AlloSkin AC cost?

$107

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $107 for this service. The price depends on where it is billed: about $117 from a physician practice, and about $47.86 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$117$107 to $123
FacilityA hospital or hospital-owned outpatient department$47.86$43.65 to $107

How much rates vary

Facilitymedian $48 · 10th to 90th $44 to $162Professionalmedian $117 · 10th to 90th $44 to $126
$50.0$100.0$200.0facility $48professional $117

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
$107.15
Median
$117.49
Typical High
$134.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$125.89
Typical High
$181.97
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$77.62
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$77.62
Providence
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$112.20
Typical High
$204.17
Providence
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$79.43
Typical High
$125.89
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89

Where Montana sits

Rates are fairly even across states for this service. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Montana $107 · 44th of 51
AK $155GA $107

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.