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Montana rates for HCPCS A6248

Hydrogel dressing, wound filler, gel, per fl oz

Facilitymedian $22 · 10th–90th $17–$440%20%40%10th90th$22Professionalmedian $14 · 10th–90th $9–$300%10%20%10th90th$14$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$8.91 / $14.13 / $30.20
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $69,183.10 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $22.39 / $22.39
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $23.99
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $23.99 / $23.99
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $22.39 / $43.65
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $22.39 / $43.65
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $20.42 / $27.54
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $22.91 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $9.55 / $11.75