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Michigan rates for HCPCS A4363

Ostomy Clamp Any Type Replacement Only Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.52 / $2.52 / $2.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $2.52 / $2.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $9.98 / $18.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.14 / $3.31 / $4.47
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.83 / $1.83 / $2.15
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.65 / $2.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.99 / $1.99 / $2.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $2.11 / $2.75
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.91 / $2.12 / $2.52
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.98 / $2.52 / $3.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.63 / $2.18 / $2.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.55 / $2.36