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Michigan rates for HCPCS A6215

Foam dressing, wound filler, sterile, per g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.04 / $4.04 / $4.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.04 / $4.04 / $4.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.51 / $7.48 / $14.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.36 / $2.58 / $3.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $2.98 / $11.24
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.04 / $27.57 / $27.57
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.04 / $27.57 / $33.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $75.00 / $100.00