go back

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
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $1.82 / $3.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.40 / $0.56 / $0.56
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.33 / $0.37 / $0.95
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.37 / $0.50
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.40 / $0.56 / $0.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $0.37 / $0.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.21 / $0.35