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Montana rates for HCPCS A6261

Wound Filler Gel/Paste Per Fluid Ounce Not Otherwise Specified

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.51 / $2.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.21 / $4.21 / $4.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.21 / $4.21 / $34.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.49 / $5.05 / $5.05
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.59 / $4.21 / $34.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $1.73 / $1.73