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Montana rates for HCPCS A6257

Transparent film, sterile, 16 sq in or less, each dressing

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.59 / $1.28 / $6.21
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
$2.09 / $2.09 / $2.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.25 / $2.25 / $2.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $2.25 / $2.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.61 / $2.04 / $2.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.69 / $2.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.82 / $0.91 / $1.04