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Michigan rates for HCPCS A6219

Gauze Non-Impregnated Pad Size 16 Sq. In. Or Less With Any Size Adhesive Border Each Dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.02 / $1.02 / $1.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $1.02 / $1.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.88 / $4.01 / $7.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.38 / $1.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $1.88
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.96 / $1.02 / $1.13
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.96 / $1.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $0.64 / $0.95