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Michigan rates for HCPCS A6218

Gauze, nonimpregnated, nonsterile, pad size more than 48 sq in, without adhesive border, each dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.25 / $0.25 / $0.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.25 / $0.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.96 / $2.04 / $4.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.68 / $0.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.56 / $0.56
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.25 / $0.33 / $0.33
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.33 / $0.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $75.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.22 / $0.38