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Montana rates for HCPCS A6222

Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq in or less, without adhesive border, each dressing

Facilitymedian $3 · 10th–90th $2–$60%20%10th90th$3Professionalmedian $2 · 10th–90th $1–$50%20%40%10th90th$2$1.0$10.0$100.0$1.0K$10.0K$100.0K

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 / $1.48 / $3.98
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.07 / $69,183.10 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.88 / $2.88 / $2.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.16 / $3.16 / $3.16
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.51 / $3.16 / $3.16
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $2.88 / $5.62
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $2.88 / $5.62
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.70 / $2.82 / $3.55
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $3.16 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.26 / $1.55