go back

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
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.66 / $4.47 / $8.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.66 / $1.66 / $1.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $2.40
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.02 / $1.41 / $3.55
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.23 / $2.04
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $2.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.02 / $1.02 / $1.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.79 / $1.20