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Montana rates for HCPCS A6245

Hydrogel dressing, wound cover, sterile, pad size 16 sq in or less, with any size adhesive border, each dressing

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $6.03 / $8.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $10.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $10.72 / $10.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $10.72 / $10.72
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.76 / $10.00 / $19.50
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $10.00 / $19.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.89 / $9.77 / $14.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $10.72 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $4.27 / $5.25