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Michigan rates for HCPCS A6154

Wound pouch, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $15.14 / $15.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $12.02 / $16.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $53.70 / $107.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $20.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $10.23 / $29.51
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $15.85 / $38.90
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $15.85 / $24.55
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $10.23 / $24.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $12.30 / $12.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $9.33 / $14.45