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Michigan rates for HCPCS A6253

Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq in, without adhesive border, each dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.74 / $6.74 / $6.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $6.74 / $7.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.51 / $26.69 / $50.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.41 / $9.19 / $11.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.51 / $4.51 / $12.66
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.40 / $6.40 / $7.36
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.47 / $6.40 / $10.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.56 / $6.39 / $10.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $4.16 / $6.34