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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

Facilitymedian $2 · 10th–90th $1–$20%20%40%10th90th$2Professionalmedian $1 · 10th–90th $1–$20%50%90th$1$0.5$1.0$2.0$5.0$10.0$20.0$50.0

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
$1.00 / $1.00 / $2.00
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.62 / $1.62 / $1.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.74 / $1.74 / $1.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.85 / $1.74 / $1.74
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.29 / $1.62 / $3.16
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.29 / $1.62 / $3.16
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.98 / $1.58 / $2.04
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.32 / $1.74 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $0.71 / $0.87