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Montana rates for HCPCS Q4154

Biovance 1 Square Cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.22 / $143.77 / $404.53
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
$152.57 / $152.57 / $152.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $152.57 / $152.57
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.90 / $152.57 / $180.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.09 / $143.09 / $186.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $131.90 / $131.90