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Human Health Factor 10 Amniotic Patch (HHF10-P)

Montana rates for HCPCS Q4224

Human Health Factor 10 Amniotic Patch (HHF10-P), per sq cm (add-on, list separately in addition to primary procedure)

Rates data updated July 2026.

Facilitymedian $141 · 10th–90th $112$2820%10%10th90th$141Professionalmedian $117 · 10th–90th $98$1550%20%10th90th$117$100.0$200.0

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
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$117.49
Typical High
$154.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
Providence
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$144.54
Typical High
$281.84
Providence
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$109.65
Typical High
$109.65
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89