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Montana rates for HCPCS A6207

Contact layer, sterile, more than 16 sq in but less than or equal to 48 sq in, each dressing

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.81 / $6.16 / $29.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.02 / $14.03 / $91,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.02 / $10.02 / $10.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.77 / $10.77 / $10.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.24 / $10.77 / $10.77
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.70 / $9.77 / $10.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.09 / $8.09 / $12.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.93 / $4.34 / $4.98