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Montana rates for HCPCS Q4162

WoundEx Flow, BioSkin Flow, 0.5 cc

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,760.00 / $1,826.00 / $1,826.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,870.00 / $1,870.00 / $1,870.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,870.00 / $1,870.00 / $1,870.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.00 / $2,200.00 / $2,750.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,870.00 / $2,640.00 / $1,800,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,200.00 / $2,200.00 / $2,200.00