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Michigan rates for HCPCS A4381

Ostomy pouch, urinary, for use on faceplate, plastic, each

Facilitymedian $9 · 10th–90th $3–$300%10%20%10th90th$9Professionalmedian $4 · 10th–90th $3–$60%20%10th90th$4$0.1$0.5$2.0$10.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $5.01
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $19.50 / $37.15
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $6.46 / $6.76
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.17 / $4.17 / $4.17
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $3.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $4.07 / $5.01
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $12.30 / $13.80
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $5.13 / $7.94
Priority Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $3.89
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $4.07 / $5.37
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.78 / $2.51 / $4.07
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $3.02 / $4.57