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Montana rates for HCPCS A6253

Specialty Absorptive Dressing Wound Cover Pad Size More Than 48 Sq. In. Without Adhesive Border Each Dressing

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $5.31 / $25.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.64 / $8.64 / $8.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.64 / $8.64 / $8.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.28 / $9.28 / $9.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.51 / $9.28 / $9.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.65 / $8.42 / $9.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.98 / $6.98 / $10.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.40 / $3.76 / $4.30