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Michigan rates for HCPCS A6509

Compression burn garment, upper trunk to waist including arm openings (vest), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $1.26 / $1.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $1.26 / $1.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.06 / $488.53 / $928.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.90 / $168.48 / $210.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.26 / $191.26 / $191.26
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $86.73 / $86.73
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $86.73 / $163.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00