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Michigan rates for HCPCS A4393

Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (one piece), each

Facilitymedian $13 · 10th–90th $6$580%10%20%10th90th$13Professionalmedian $8 · 10th–90th $6$130%10%10th90th$8$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
$8.91 / $8.91 / $8.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $7.94 / $10.96
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $12.59 / $12.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $38.02 / $72.44
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $12.59 / $13.18
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $8.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $7.59 / $7.94
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $7.94 / $8.91
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $8.91 / $26.30
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.23 / $16.22
Priority Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $7.59 / $7.94
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $7.94 / $8.91
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.47 / $4.90 / $8.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $5.89 / $9.12