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Celera Dual Layer or Celera Dual Membrane

Montana rates for HCPCS Q4259

Celera Dual Layer or Celera Dual Membrane, per sq cm (add-on, list separately in addition to primary procedure)

Rates data updated July 2026.

Facilitymedian $1,072 · 10th–90th $708$1,3490%20%40%10th90th$1,072Professionalmedian $776 · 10th–90th $126$1,0960%50%10th90th$776$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
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$776.25
Typical High
$831.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$1,122.02
Typical High
$1,122.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$181.97
Typical High
$1,122.02
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,071.52
Typical High
$1,348.96
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,071.52
Typical High
$1,348.96
Providence
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$741.31
Typical High
$1,380.38
Providence
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$1,122.02
Typical High
$1,698.24
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89