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Cellesta or Cellesta Duo

Montana rates for HCPCS Q4184

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

Rates data updated October 2026.

How much does Cellesta or Cellesta Duo cost?

$91.20

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $91.20 for this service. The price depends on where it is billed: about $91.20 from a physician practice, and about $148 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$91.20$91.20 to $126
FacilityA hospital or hospital-owned outpatient department$148$91.20 to $158

How much rates vary

Facilitymedian $148 · 10th to 90th $91 to $209Professionalmedian $91 · 10th to 90th $79 to $126
$100$200$500facility $148professional $91

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$83.18
Typical High
$100.00
Cigna
Setting
Facility
Modifier
None
Typical Low
$91.20
Median
$91.20
Typical High
$204.17
Cigna
Setting
Professional
Modifier
None
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$158.49
Typical High
$208.93
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$141.25
Typical High
$158.49
Providence
Setting
Facility
Modifier
None
Typical Low
$91.20
Median
$91.20
Typical High
$204.17
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$91.20
Typical High
$91.20
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89

Where Montana sits

The same service costs 7.2 times more in Hawaii than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Montana· 45th of 51

$91.20

HI $575KY $79.43

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.