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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
$2.81 / $6.17 / $29.67
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
$10.03 / $10.03 / $10.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.79 / $10.79 / $10.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $10.79 / $10.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.71 / $9.78 / $10.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.11 / $8.11 / $12.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.94 / $4.36 / $4.99