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Montana rates for HCPCS A6231

Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq in or less, each dressing

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.79 / $3.93 / $18.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.40 / $6.40 / $6.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.88 / $6.88 / $6.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $6.88 / $6.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.91 / $6.24 / $6.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.17 / $5.17 / $7.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $2.78 / $3.27