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Michigan rates for HCPCS A6207

Contact Layer More Than 16 Sq. In. But Less Than Or Equal To 48 Sq. In. Each Dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.82 / $7.82 / $7.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.63 / $7.82 / $8.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.51 / $30.94 / $58.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.75 / $10.67 / $13.34
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.26 / $16.93 / $22.06
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.78 / $23.78 / $23.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.24 / $5.24 / $15.00
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $7.41 / $8.52
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.10 / $7.41 / $12.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.43 / $7.39 / $11.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $4.90 / $7.91