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Montana rates for HCPCS A6228

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $0.76 / $1.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.10 / $2.10 / $2.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $2.10 / $2.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.25 / $2.52 / $2.52
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.94 / $2.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.67 / $0.86 / $0.86