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Montana rates for HCPCS A6247

Hydrogel dressing, wound cover, sterile, pad size more than 48 sq in, with any size adhesive border, each dressing

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.09 / $19.94 / $95.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.89 / $34.89 / $34.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.56 / $34.89 / $34.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.95 / $31.63 / $34.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.64 / $26.19 / $38.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.73 / $14.09 / $16.13