go back

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
$2.78 / $6.10 / $29.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.92 / $9.92 / $9.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.67 / $10.67 / $10.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.19 / $10.67 / $10.67
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.62 / $9.67 / $10.67
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.01 / $8.01 / $11.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $4.30 / $6.49