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Michigan rates for HCPCS A6221

Gauze Non-Impregnated Pad Size More Than 48 Sq. In. With Any Size Adhesive Border Each Dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.69 / $1.69 / $1.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.69 / $2.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.53 / $3.26 / $6.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.03 / $1.12 / $1.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $1.89 / $3.68
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.69 / $3.45 / $3.45
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $3.45 / $4.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.68 / $75.00 / $100.00