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Michigan rates for HCPCS A6221

Gauze, nonimpregnated, sterile, pad size more than 48 sq in, with any size adhesive border, each dressing

Facilitymedian $2 · 10th–90th $1–$60%20%10th90th$2Professionalmedian $1 · 10th–90th $1–$30%50%90th$1$1.0$2.0$5.0$10.0$20.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.07 / $2.88 / $5.75
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.07 / $1.07 / $1.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.91 / $3.72 / $3.72
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.47 / $3.98 / $10.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $3.47 / $4.68
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.91 / $3.72 / $3.72