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Montana rates for HCPCS A6011

Collagen based wound filler, gel/paste, per g of collagen

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $1.91 / $9.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.12 / $3.12 / $3.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $3.35 / $3.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.39 / $3.04 / $3.35
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $2.52 / $3.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.40 / $1.40