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Repriza

Montana rates for HCPCS Q4143

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

Rates data updated July 2026.

Facilitymedian $35 · 10th–90th $31$890%20%10th90th$35Professionalmedian $37 · 10th–90th $31$1260%20%10th90th$37$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$37.15
Typical High
$42.66
Cigna
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$125.89
Typical High
$125.89
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$57.54
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$57.54
Providence
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$38.90
Typical High
$204.17
Providence
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$79.43
Typical High
$125.89
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89