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Michigan rates for HCPCS A4383

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

Facilitymedian $50 · 10th–90th $19–$1820%10%20%10th90th$50Professionalmedian $25 · 10th–90th $19–$400%10%10th90th$25$0.5$2.0$10.0$50.0$200.0

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
$28.84 / $28.84 / $28.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $25.12 / $33.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $117.49 / $229.09
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $41.69
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $25.70
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $26.92
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $24.55 / $27.54
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $74.13 / $83.18
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $32.36 / $50.12
Priority Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $26.92
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $24.55 / $27.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $15.14 / $25.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $18.62 / $28.18