go back

Montana rates for HCPCS A6241

Hydrocolloid dressing, wound filler, dry form, sterile, per g

Facilitymedian $4 · 10th–90th $3–$50%20%40%10th90th$4Professionalmedian $2 · 10th–90th $1–$40%20%40%10th90th$2$1.0$2.0$5.0$10.0$20.0$50.0

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
$1.00 / $2.00 / $3.16
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $3.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.48 / $3.09 / $3.80
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.75 / $3.55 / $6.92
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.75 / $3.55 / $6.92
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $3.39 / $4.37
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $3.80 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.38 / $1.51 / $1.86