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Axolotl Graft or Axolotl DualGraft

Montana rates for HCPCS Q4210

Axolotl Graft or Axolotl DualGraft, per sq cm

Rates data updated July 2026.

How much rates vary

Facilitymedian $891 · 10th to 90th $891 to $1,660Professionalmedian $891 · 10th to 90th $891 to $1,660
$1K$2Kfacility $891professional $891

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$1,659.59
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$1,659.59