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Montana rates for HCPCS Q4150

Allowrap Ds Or Dry Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.95 / $85.20 / $90.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.48 / $94.48 / $94.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.17 / $94.48 / $94.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.17 / $94.48 / $107.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.80 / $84.80 / $110.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.17 / $78.17 / $78.17