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Montana rates for HCPCS A6022

Collagen dressing, sterile, size more than 16 sq in but less than or equal to 48 sq in, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.03 / $17.63 / $84.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.69 / $28.69 / $28.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.85 / $30.85 / $30.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $30.85 / $30.85
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.05 / $27.96 / $30.85
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.15 / $23.15 / $34.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.26 / $12.46 / $14.26