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Montana rates for HCPCS Q4226

MyOwn Skin, includes harvesting and preparation procedures, per sq cm

Facilitymedian $676 · 10th–90th $525–$1,2880%20%40%10th90th$676Professionalmedian $1,202 · 10th–90th $759–$1,4130%50%10th90th$1,202$100.0$200.0$500.0$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
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,202.26 / $1,445.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $436.52 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $1,230.27 / $1,230.27
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $676.08 / $758.58
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $676.08 / $758.58
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $1,230.27 / $1,584.89
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $85.11 / $1,230.27
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,202.26 / $1,202.26