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Michigan rates for HCPCS A6261

Wound filler, gel/paste, per fl oz, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.98 / $1.98 / $1.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.98 / $2.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.41 / $25.78 / $49.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.11 / $8.89 / $11.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.71 / $34.00 / $42.87
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.98 / $2.62 / $2.62
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.98 / $2.62 / $3.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.71 / $75.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.08 / $1.73 / $3.19