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Montana rates for HCPCS A6261

Wound filler, gel/paste, per fl oz, not otherwise specified

Facilitymedian $5 · 10th–90th $2–$50%50%10th90th$5Professionalmedian $2 · 10th–90th $1–$30%20%40%10th90th$2$1.0$2.0$5.0$10.0$20.0$50.0$100.0

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 / $2.00 / $2.45
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.17 / $4.17 / $4.17
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $4.17 / $33.88
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.57 / $4.57 / $4.79
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $4.57 / $4.79
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.82 / $3.02 / $5.25
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $5.62 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.55 / $1.74 / $1.74