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Axolotl Ambient or Axolotl Cryo

Montana rates for HCPCS Q4215

Axolotl Ambient or Axolotl Cryo, 0.1 mg

Rates data updated July 2026.

Facilitymedian $550 · 10th–90th $550$9330%50%90th$550Professionalmedian $550 · 10th–90th $550$4,7860%50%90th$550$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
Providence
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$933.25
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$4,786.30