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Montana rates for HCPCS A6506

Compression burn garment, glove to axilla, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $141.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $43.65 / $74.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $79.43 / $85.11