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Montana rates for HCPCS A6224

Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 48 sq in, without adhesive border, each dressing

Facilitymedian $5 · 10th–90th $4–$100%20%40%10th90th$5Professionalmedian $3 · 10th–90th $2–$60%20%10th90th$3$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
$2.00 / $3.02 / $4.47
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $69,183.10 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $4.90 / $4.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.25 / $5.25 / $5.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $5.25 / $5.25
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $4.90 / $9.55
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $4.90 / $9.55
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.88 / $4.79 / $6.03
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $5.25 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $2.14 / $2.63