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Montana rates for HCPCS Q4210

Axolotl Graft or Axolotl DualGraft, per sq cm

Facilitymedian $891 · 10th–90th $891–$1,6600%50%90th$891Professionalmedian $891 · 10th–90th $851–$1,6600%20%40%10th90th$891$1.0K$2.0K

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
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $891.25 / $1,659.59
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $891.25 / $1,659.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $851.14 / $851.14