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Montana rates for HCPCS A6212

Foam dressing, wound cover, sterile, pad size 16 sq in or less, with any size adhesive border, each dressing

Facilitymedian $13 · 10th–90th $10–$260%50%10th90th$13Professionalmedian $8 · 10th–90th $5–$170%20%10th90th$8$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.94 / $12.02
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $87,096.36
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $13.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $14.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $14.13 / $14.13
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $13.18 / $25.70
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $13.18 / $25.70
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $12.88 / $16.22
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $14.13 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $5.75 / $7.08