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Montana rates for HCPCS A6219

Gauze, nonimpregnated, sterile, pad size 16 sq in or less, with any size adhesive border, each dressing

Facilitymedian $1 · 10th–90th $1–$20%50%10th90th$1Professionalmedian $1 · 10th–90th $1–$20%20%40%10th90th$1$0.5$5.0$50.0$500.0$5.0K$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
$1.00 / $1.00 / $5.75
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.29 / $1.29 / $1.29
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $1.29 / $1.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.41 / $1.41 / $1.41
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $1.41 / $1.41
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.02 / $1.29 / $2.51
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.02 / $1.29 / $2.51
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.78 / $1.23 / $1.58
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.05 / $1.41 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.51 / $0.56 / $0.71