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Montana rates for HCPCS A6196

Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq in or less, each dressing

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $6.03 / $9.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $75,857.76 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $10.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $10.72 / $10.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $10.72 / $10.72
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $10.00 / $19.50
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $10.00 / $19.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.89 / $10.00 / $14.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $10.72 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $4.37 / $5.37