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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
$6.03 / $6.03 / $6.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $5.01 / $7.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.22 / $26.30 / $50.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $8.71 / $9.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $5.75 / $5.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.25 / $5.25 / $5.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $5.25 / $10.23
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.46 / $7.24 / $18.62
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $7.08 / $10.72
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.25 / $5.25 / $5.62
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $5.25 / $6.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $3.39 / $5.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $4.07 / $6.31