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Montana rates for HCPCS A4461

Surgical dressing holder, nonreusable, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $2.77 / $13.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $4.84 / $4.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.88 / $4.84 / $4.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.45 / $4.61 / $4.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.64 / $3.64 / $5.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.76 / $1.96 / $2.93