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Michigan rates for HCPCS A6503

Compression burn garment, facial hood, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $269.15 / $537.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $100.00 / $104.71
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12