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Michigan rates for HCPCS A5122

Skin barrier; solid, 8 x 8 or equivalent, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.66 / $13.66 / $13.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.35 / $13.66 / $13.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.16 / $54.58 / $98.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.04 / $17.94 / $24.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.66 / $11.66 / $11.66
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.67 / $13.67 / $13.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.78 / $10.78 / $10.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $10.78 / $14.92
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.97 / $13.66 / $17.38
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.78 / $13.66 / $18.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.20 / $9.01 / $12.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.97 / $8.35 / $12.68