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Michigan rates for HCPCS A4372

Ostomy skin barrier, solid 4 x 4 or equivalent, standard wear, with built-in convexity, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.46 / $4.46 / $4.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $4.46 / $4.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.89 / $17.70 / $32.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.58 / $5.87 / $7.92
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.82 / $3.82 / $3.82
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.70 / $4.70 / $4.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.77 / $3.77 / $3.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $3.77 / $4.87
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.23 / $4.23 / $4.46
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.51 / $4.46 / $6.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.60 / $3.26 / $4.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $2.75 / $4.18