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Michigan rates for HCPCS A6220

Gauze Non-Impregnated Pad Size More Than 16 Sq. In. But Less Than Or Equal To 48 Sq. In. With Any Size Adhesive Border Each Dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.76 / $2.76 / $2.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.63 / $2.76 / $2.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.12 / $10.92 / $20.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $3.76 / $4.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.85 / $5.16
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.53 / $2.61 / $2.76
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $2.61 / $4.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.59 / $4.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.28 / $1.70 / $2.58