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Montana rates for HCPCS A6242

Hydrogel dressing, wound cover, sterile, pad size 16 sq in or less, without adhesive border, each dressing

Facilitymedian $8 · 10th–90th $6–$120%20%10th90th$8Professionalmedian $5 · 10th–90th $3–$90%10%10th90th$5$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
$3.02 / $5.01 / $9.33
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $8.32
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $8.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $8.91 / $8.91
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $8.32 / $16.22
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $8.32 / $16.22
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $8.13 / $10.23
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $8.91 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $3.63 / $4.37