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Montana rates for HCPCS A6262

Wound filler, dry form, per g, not otherwise specified

Facilitymedian $1 · 10th–90th $1–$10%50%10th90th$1Professionalmedian $1 · 10th–90th $0–$40%20%40%10th90th$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
$1.35 / $3.02 / $3.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.05 / $1.05 / $1.05
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.05 / $1.05 / $3.80
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.12 / $1.15 / $1.20
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.15 / $1.20
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.45 / $0.78 / $1.26
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.05 / $3.80 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.40 / $0.43 / $0.44