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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
$0.92 / $1.13 / $2.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.15 / $3.15 / $3.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $3.15 / $3.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.87 / $3.80 / $3.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.94 / $2.91 / $4.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.30 / $1.33