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Montana rates for HCPCS A6254

Specialty absorptive 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
$0.46 / $1.00 / $4.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.63 / $1.63 / $1.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.75 / $1.75 / $1.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $1.75 / $1.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.27 / $1.59 / $1.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.31 / $1.31 / $1.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.71 / $0.81