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Michigan rates for HCPCS A4405

Ostomy skin barrier, nonpectin-based, paste, per oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.21 / $3.63 / $3.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.22 / $3.63 / $3.63
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.86 / $4.76 / $4.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.22 / $14.38 / $26.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.53 / $4.76 / $6.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.10 / $3.10 / $3.10
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.82 / $3.82 / $3.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.86 / $2.86 / $3.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $3.00 / $3.97
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.64 / $3.21 / $3.44
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.70 / $3.63 / $5.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $3.00 / $4.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.59 / $2.24 / $3.40