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Michigan rates for HCPCS A4358

Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $6.03 / $6.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $5.01 / $7.94
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $6.61 / $8.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.47 / $24.55 / $46.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $8.13 / $8.51
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.13 / $5.13 / $5.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $5.62 / $6.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $4.68 / $10.72
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $15.49 / $17.38
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $6.61 / $10.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $5.62 / $6.92
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $4.68 / $6.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.63 / $3.63 / $5.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $3.89 / $5.89