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Montana rates for HCPCS A6457

Tubular Dressing With Or Without Elastic Any Width Per Linear Yard

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.76 / $39.76 / $39.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $0.51 / $1.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $1.55 / $1.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.67 / $1.67 / $1.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $1.67 / $1.67
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $1.51 / $1.67
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.25 / $1.25 / $1.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $0.67 / $0.77