go back

Montana rates for HCPCS Q4152

Dermapure Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.22 / $55.28 / $58.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.35 / $62.35 / $62.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.71 / $62.35 / $62.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.72 / $57.91 / $62.35
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.02 / $55.02 / $71.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.72 / $50.72 / $50.72