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Montana rates for HCPCS Q4236

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

Facilitymedian $525 · 10th–90th $204–$8710%20%10th90th$525Professionalmedian $447 · 10th–90th $158–$5620%50%10th90th$447$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
$446.68 / $446.68 / $562.34
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$144.54 / $549.54 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $181.97 / $549.54
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $489.78 / $933.25
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $549.54 / $851.14
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $125.89 / $125.89