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Montana rates for HCPCS Q4173

Palingen Or Palingen Xplus Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.51 / $380.43 / $404.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.52 / $411.52 / $411.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.01 / $411.52 / $411.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.02 / $411.52 / $501.05
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.65 / $378.65 / $500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.02 / $349.02 / $349.02