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Montana rates for HCPCS A6209

Foam Dressing Wound Cover Pad Size 16 Sq. In. Or Less Without Adhesive Border Each Dressing

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.86 / $6.26 / $30.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.19 / $10.19 / $82,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.19 / $10.19 / $10.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $10.96 / $10.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.33 / $10.96 / $10.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.84 / $9.94 / $10.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.23 / $8.23 / $12.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.43 / $5.07