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Montana rates for HCPCS Q4261

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.07 / $600.79 / $600.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$615.26 / $615.26 / $615.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.26 / $615.26 / $615.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$579.07 / $723.84 / $904.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.26 / $868.61 / $904.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.84 / $723.84 / $723.84