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Michigan rates for HCPCS A4326

Male external catheter with integral collection chamber, any type, each

Facilitymedian $17 · 10th–90th $7–$600%20%10th90th$17Professionalmedian $9 · 10th–90th $6–$130%20%10th90th$9$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $8.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $8.91 / $12.02
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $39.81 / $75.86
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $13.80
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $9.77 / $9.77
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $9.12 / $9.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $6.17 / $10.72
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $25.12 / $27.54
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $10.96 / $15.85
Priority Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $9.12 / $9.12
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $6.17 / $10.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.37 / $5.89 / $9.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $6.31 / $9.33