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Michigan rates for HCPCS A4349

Male external catheter, with or without adhesive, disposable, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.14 / $2.14 / $2.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $1.85 / $2.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.08 / $8.03 / $16.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.67 / $2.92 / $3.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $1.44 / $4.22
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.34 / $2.04 / $2.14
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $2.04 / $3.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $1.05 / $1.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $1.33 / $2.02