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Montana rates for HCPCS Q4189

Artacent AC, 1 mg

Facilitymedian $24 · 10th–90th $21$340%20%10th90th$24Professionalmedian $20 · 10th–90th $20$250%50%90th$20$20.0$50.0

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
$19.95 / $19.95 / $24.55
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $24.55 / $24.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $21.38
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $23.99 / $33.88
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $79.43 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $21.38