go back

Michigan rates for HCPCS A4461

Surgical dressing holder, nonreusable, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.51 / $3.51 / $3.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $3.51 / $3.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.52 / $13.90 / $26.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.38 / $4.79 / $6.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.88 / $1.88 / $6.56
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.32 / $3.32 / $3.81
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.29 / $3.32 / $5.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.92 / $75.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.63 / $2.16 / $3.55