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Michigan rates for HCPCS A6231

Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq in or less, each dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.99 / $4.99 / $4.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $4.99 / $5.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.50 / $19.75 / $37.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.22 / $6.81 / $8.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $9.38
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.56 / $4.73 / $4.99
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.53 / $4.73 / $7.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $4.74 / $7.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $3.07 / $4.68