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Montana rates for HCPCS A6242

Hydrogel Dressing Wound Cover Pad Size 16 Sq. In. Or Less Without Adhesive Border Each Dressing

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $5.08 / $24.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.26 / $8.26 / $8.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.88 / $8.88 / $8.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.32 / $8.88 / $8.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.36 / $8.05 / $8.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.67 / $6.67 / $9.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.59 / $5.41