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Michigan rates for HCPCS A4330

Perianal fecal collection pouch with adhesive, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.62 / $7.62 / $7.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.51 / $7.62 / $7.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.52 / $30.19 / $57.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.51 / $10.41 / $13.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.11 / $5.11 / $13.59
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.22 / $7.53 / $8.36
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $7.22 / $12.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.32 / $7.26 / $11.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.54 / $4.69 / $7.15