go back

Montana rates for HCPCS Q4252

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.53 / $57.77 / $61.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.14 / $113.14 / $113.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.00 / $113.14 / $113.14
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.00 / $96.21 / $113.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.50 / $57.50 / $113.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.00 / $53.00 / $53.00