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Michigan rates for HCPCS A4385

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each

Facilitymedian $5 · 10th–90th $4$290%20%10th90th$5Professionalmedian $4 · 10th–90th $3$70%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
$5.01 / $5.01 / $5.37
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $6.03
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $7.08 / $7.24
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $21.38 / $40.74
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.41
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.37 / $8.51 / $15.14
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.00 / $10.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $4.27 / $4.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $4.27 / $5.01
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.57 / $5.13 / $15.14
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $5.75 / $8.71
Priority Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $4.27 / $4.57
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $4.27 / $5.01
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.95 / $2.75 / $4.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $3.39 / $5.13