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Michigan rates for HCPCS A4360

Adult Incontinence Garment (E.G. Brief Diaper) Each (Not Covered By Medicare. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $0.52 / $0.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.51 / $0.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $2.08 / $4.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.69 / $0.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $1.13
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.49 / $0.49 / $0.56
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $0.49 / $0.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.59 / $75.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.32 / $0.51