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Montana rates for HCPCS A6214

Foam dressing, wound cover, sterile, pad size more than 48 sq in, with any size adhesive border, each dressing

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.94 / $8.63 / $41.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.05 / $14.05 / $14.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.11 / $15.11 / $15.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.34 / $15.11 / $15.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.79 / $13.69 / $15.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.33 / $11.33 / $16.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.51 / $6.10 / $6.98