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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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.71 / $8.14 / $39.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.25 / $13.25 / $86,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.25 / $13.25 / $13.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.25 / $14.25 / $14.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.93 / $14.25 / $14.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.18 / $12.91 / $14.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.69 / $10.69 / $15.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.20 / $5.75 / $6.77