go back

Montana rates for HCPCS Q4222

ProgenaMatrix, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.94 / $158.58 / $168.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.16 / $155.16 / $155.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.49 / $155.16 / $155.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.49 / $149.85 / $155.16
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.46 / $157.84 / $205.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.49 / $145.49 / $145.49