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Michigan rates for HCPCS A4357

Bedside drainage bag, day or night, with or without antireflux device, with or without tube, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.78 / $10.33 / $10.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.58 / $10.33 / $10.33
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.14 / $13.57 / $13.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.54 / $41.29 / $74.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.89 / $13.57 / $18.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.80 / $13.57 / $20.16
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.86 / $16.14 / $19.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.40 / $8.15 / $10.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.40 / $8.15 / $11.28
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.78 / $4.47 / $9.78
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.14 / $10.33 / $13.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.14 / $6.43 / $9.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.50 / $6.37 / $9.59