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Montana rates for HCPCS Q4232

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.53 / $119.29 / $126.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.71 / $235.71 / $235.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.44 / $235.71 / $235.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.44 / $235.71 / $314.81
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.73 / $118.73 / $302.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.44 / $109.44 / $109.44