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Michigan rates for HCPCS A6230

Gauze, impregnated, water or normal saline, sterile, pad size more than 48 sq in, without adhesive border, each dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.48 / $1.48 / $1.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.13 / $1.48 / $1.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $1.38 / $2.86
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.48 / $1.96 / $1.96
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.96 / $2.54
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
$0.81 / $1.28 / $2.44