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Montana rates for HCPCS A6230

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.16 / $3.16 / $3.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $1.38 / $3.16
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $3.47 / $3.55
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $3.47 / $3.55
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.07 / $2.63 / $4.07
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $4.07 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.29 / $1.32