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Montana rates for HCPCS Q4217

Woundfix Biowound Woundfix Plus Biowound Plus Woundfix Xplus Or Biowound Xplus Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.18 / $346.62 / $368.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.22 / $312.22 / $312.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.73 / $312.22 / $318.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.22 / $318.00 / $463.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.22 / $345.00 / $450.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.00 / $318.00 / $318.00