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Michigan rates for HCPCS A6511

Compression Burn Garment Lower Trunk Including Leg Openings (Panty) 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
$156.71 / $325.68 / $619.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.60 / $112.32 / $140.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.48 / $196.48 / $196.48
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $62.24 / $62.24
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $62.24 / $117.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00