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Montana rates for HCPCS A6211

Foam Dressing Wound Cover Pad Size More Than 48 Sq. In. Without Adhesive Border Each Dressing

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.23 / $24.62 / $118.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.08 / $40.08 / $40.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.09 / $43.09 / $43.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.95 / $43.09 / $43.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.81 / $39.06 / $43.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $48.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.73 / $17.39 / $19.92