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Michigan rates for HCPCS A6209

Foam dressing, wound cover, sterile, pad size 16 sq in or less, without adhesive border, each dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.95 / $7.95 / $7.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.71 / $7.95 / $8.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.15 / $31.48 / $59.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.92 / $10.86 / $13.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.33 / $5.33 / $15.00
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.55 / $7.55 / $8.68
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.89 / $7.55 / $12.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.55 / $7.53 / $11.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.69 / $4.84 / $7.48