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Michigan rates for HCPCS A4394

Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fl oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.76 / $2.76 / $6.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.76 / $2.76
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $2.17 / $3.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.48 / $10.92 / $19.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $3.62 / $4.88
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $3.62 / $5.38
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.90 / $4.71 / $5.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.18 / $2.18 / $2.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.92 / $2.25 / $3.01
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.93 / $2.61 / $2.76
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.75 / $3.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $2.25 / $3.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.28 / $1.70 / $2.58