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Michigan rates for HCPCS A6242

Hydrogel dressing, wound cover, sterile, pad size 16 sq in or less, without adhesive border, each dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.44 / $6.44 / $6.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.82 / $6.44 / $6.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.96 / $25.51 / $48.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.03 / $8.80 / $11.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.32 / $4.32 / $12.19
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.12 / $6.12 / $7.03
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.85 / $6.12 / $10.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $6.11 / $9.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.99 / $3.98 / $6.07