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Michigan rates for HCPCS A4373

Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.66 / $6.66 / $6.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.83 / $6.66 / $6.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.26 / $26.65 / $48.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $8.76 / $11.83
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.69 / $5.69 / $5.69
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.01 / $7.01 / $7.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.26 / $5.26 / $5.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.16 / $5.26 / $7.28
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.34 / $6.49 / $7.21
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.26 / $6.66 / $9.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.32 / $4.16 / $5.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.10 / $4.12 / $6.28