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Montana rates for HCPCS Q4182

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $38.90 / $46.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $46.77 / $199.53
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $79.43 / $125.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $125.89 / $125.89