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Michigan rates for HCPCS A6257

Transparent Film 16 Sq. In. Or Less Each Dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.63 / $1.63 / $1.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.97 / $1.63 / $1.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.03 / $6.45 / $12.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.23 / $2.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.10 / $3.28
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $1.55 / $1.63
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.49 / $1.55 / $2.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.34 / $1.34 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $1.03 / $1.79