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Michigan rates for HCPCS A5121

Skin barrier; solid, 6 x 6 or equivalent, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.93 / $7.93 / $7.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.47 / $7.93 / $7.93
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.20 / $10.41 / $10.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.76 / $31.39 / $57.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.89 / $10.41 / $14.05
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.48 / $6.48 / $6.77
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.86 / $7.86 / $7.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.26 / $6.26 / $6.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.94 / $6.26 / $8.66
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.53 / $7.93 / $10.54
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.61 / $7.93 / $10.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.95 / $4.94 / $8.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.46 / $4.88 / $7.46