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Michigan rates for HCPCS A6228

Gauze Impregnated Water Or Normal Saline Pad Size 16 Sq. In. Or Less Without Adhesive Border Each Dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $0.99 / $0.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.99 / $1.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.22 / $1.91
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $1.31 / $1.31
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $1.31 / $1.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $75.00 / $1,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.54 / $0.86 / $1.56