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Michigan rates for HCPCS A6203

Composite Dressing Pad Size 16 Sq. In. Or Less With Any Size Adhesive Border Each Dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.58 / $3.58 / $3.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.43 / $3.09 / $3.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.66 / $14.20 / $27.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.90 / $6.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.40 / $7.03
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.64 / $3.38 / $3.58
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $3.38 / $5.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $3.36 / $5.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.66 / $2.20 / $3.35