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Montana rates for HCPCS A6203

Composite dressing, sterile, pad size 16 sq in or less, with any size adhesive border, each dressing

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $1.43 / $13.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.59 / $4.59 / $4.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.95 / $4.95 / $4.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $4.95 / $4.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.52 / $4.48 / $4.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.71 / $3.71 / $5.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.79 / $1.99 / $2.29