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Montana rates for HCPCS A6257

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

Facilitymedian $2 · 10th–90th $2–$40%20%40%10th90th$2Professionalmedian $1 · 10th–90th $1–$20%50%90th$1$1.0$10.0$100.0$1.0K$10.0K$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
$1.00 / $1.00 / $2.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $69,183.10 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $2.09 / $2.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.24 / $2.24 / $2.24
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.10 / $2.24 / $2.24
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.66 / $2.09 / $4.07
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.66 / $2.09 / $4.07
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.23 / $2.04 / $2.57
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $2.24 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.81 / $0.91 / $1.12