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Montana rates for HCPCS A6262

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.38 / $0.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.05 / $1.05 / $1.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.05 / $3.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $1.27 / $1.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $1.05 / $3.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.43 / $0.44