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Michigan rates for HCPCS A4388

Ostomy Pouch Drainable With Extended Wear Barrier Attached (1 Piece) Each (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.63 / $4.63 / $4.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.36 / $4.63 / $4.63
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.09 / $6.09 / $6.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.22 / $18.53 / $33.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.79 / $6.09 / $8.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.96 / $3.96 / $3.96
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.87 / $4.87 / $4.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.66 / $3.66 / $3.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.82 / $5.07
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.26 / $4.41 / $4.73
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.66 / $4.63 / $6.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.05 / $3.82 / $5.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.06 / $2.37 / $3.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.87 / $4.36