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Michigan rates for HCPCS A4379

Ostomy Pouch Urinary With Faceplate Attached Plastic Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.98 / $15.98 / $15.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.57 / $15.98 / $15.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.76 / $63.27 / $115.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.93 / $20.98 / $28.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.64 / $13.64 / $13.64
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.78 / $16.78 / $16.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.91 / $13.91 / $14.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.19 / $13.91 / $17.45
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.16 / $15.16 / $15.98
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.78 / $15.98 / $23.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.52 / $13.16 / $17.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.98 / $9.68 / $14.83