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Montana rates for HCPCS Q4167

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.75 / $100.38 / $100.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.80 / $102.80 / $102.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.80 / $102.80 / $102.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.75 / $120.94 / $151.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.80 / $145.13 / $151.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.78 / $100.78 / $100.78