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Montana rates for HCPCS A4362

Skin barrier; solid, 4 x 4 or equivalent; each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $3.02 / $6.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.89 / $75,857.76 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $4.27 / $4.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $4.57 / $4.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $3.72 / $4.57
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $4.27 / $8.32
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $4.27 / $8.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.24 / $4.07 / $5.62
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $4.57 / $79.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $1.86 / $1.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $2.04 / $2.34