go back

Montana rates for HCPCS A6505

Compression burn garment, glove to elbow, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $75.00 / $75.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.27 / $98.27 / $98.27
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $75.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.27 / $98.27 / $2,400,000.00