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Montana rates for HCPCS A6154

Wound pouch, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $12.04 / $57.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.60 / $19.60 / $19.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.07 / $21.07 / $21.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.26 / $21.07 / $21.07
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.06 / $19.10 / $21.07
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.81 / $15.81 / $23.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.70 / $8.52 / $10.02