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Michigan rates for HCPCS A5120

Skin barrier, wipes or swabs, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.25 / $0.25 / $0.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.25 / $0.28
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.00 / $22.00 / $29.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $1.06 / $1.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.34 / $0.46
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.17 / $0.21 / $0.41
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.35 / $0.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $0.20 / $0.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.20 / $0.38
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.18 / $0.25 / $0.33
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.28 / $0.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.19 / $0.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.16 / $0.25