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Montana rates for HCPCS A6220

Gauze Non-Impregnated Pad Size More Than 16 Sq. In. But Less Than Or Equal To 48 Sq. In. With Any Size Adhesive Border Each Dressing

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $2.17 / $10.44
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
$3.54 / $3.54 / $3.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.80 / $3.80 / $3.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $3.80 / $3.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.71 / $3.45 / $3.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.85 / $2.85 / $4.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $1.54 / $1.76