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Michigan rates for HCPCS A4361

Ostomy faceplate, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.54 / $19.54 / $19.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.04 / $19.54 / $19.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.83 / $77.34 / $140.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.37 / $25.65 / $34.63
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.67 / $16.67 / $16.67
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.52 / $20.52 / $20.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.42 / $15.42 / $15.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.79 / $15.88 / $21.34
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.23 / $10.26 / $19.54
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.42 / $19.54 / $26.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.97 / $16.22 / $21.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.52 / $12.05 / $18.14