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Michigan rates for HCPCS A6254

Specialty absorptive dressing, wound cover, sterile, pad size 16 sq in or less, with any size adhesive border, each dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.27 / $1.27 / $1.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $1.27 / $1.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.42 / $4.78 / $9.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.59 / $1.74 / $2.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $2.34
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.22 / $1.22 / $1.40
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.14 / $1.22 / $2.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.06 / $1.06 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.59 / $0.79 / $1.21