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Michigan rates for HCPCS A6510

Compression burn garment, trunk, including arms down to leg openings (leotard), 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
$287.30 / $597.09 / $1,134.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.10 / $205.92 / $267.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.58 / $309.58 / $309.58
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $1.26 / $1.26
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.26 / $1.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00