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Michigan rates for HCPCS A4407

Ostomy Skin Barrier With Flange (Solid Flexible Or Accordion) Extended Wear With Built-In Convexity 4 X 4 Inches Or Smaller Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.32 / $9.32 / $9.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.71 / $9.32 / $9.32
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.04 / $12.24 / $12.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.53 / $36.90 / $67.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.63 / $12.24 / $16.52
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.84 / $12.24 / $18.18
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.78 / $15.91 / $17.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.35 / $7.35 / $7.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.81 / $7.57 / $10.18
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.44 / $8.85 / $9.38
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.63 / $9.32 / $12.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.64 / $5.81 / $8.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $4.76 / $6.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $5.75 / $8.76