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Montana rates for HCPCS Q4182

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

Facilitymedian $47 · 10th–90th $39–$2040%20%10th90th$47Professionalmedian $39 · 10th–90th $37–$1260%50%10th90th$39$10.0$20.0$50.0$100.0$200.0

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
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $38.90 / $46.77
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$144.54 / $144.54 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $125.89 / $181.97
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $46.77 / $204.17
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $79.43 / $125.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $125.89 / $125.89