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Montana rates for HCPCS Q4236

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.90 / $489.85 / $521.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$551.02 / $551.02 / $551.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.41 / $551.02 / $551.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$449.41 / $551.02 / $767.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.57 / $487.57 / $635.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.41 / $449.41 / $449.41