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Michigan rates for HCPCS A6512

Compression burn garment, not otherwise classified

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
$237.03 / $476.44 / $929.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59,999.40 / $59,999.40 / $59,999.40
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $21.98 / $21.98
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $21.98 / $41.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00