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Biovance

Montana rates for HCPCS Q4154

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

Rates data updated July 2026.

Facilitymedian $166 · 10th–90th $151$4170%20%40%10th90th$166Professionalmedian $145 · 10th–90th $126$2040%50%10th90th$145$100.0$500.0$2.0K$10.0K$50.0K

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
$131.83
Median
$144.54
Typical High
$165.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$138.04
Typical High
$151.36
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$288.40
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$288.40
Providence
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$151.36
Typical High
$309.03
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$125.89
Typical High
$181.97
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89