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Michigan rates for HCPCS A4328

Female external urinary collection device; pouch, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.07 / $11.07 / $11.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.21 / $11.07 / $11.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.10 / $43.85 / $83.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.81 / $15.12 / $18.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.70 / $5.95 / $17.48
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.51 / $10.51 / $12.08
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.97 / $10.51 / $17.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.90 / $7.93 / $12.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.16 / $6.83 / $10.41