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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 in or smaller, each

Facilitymedian $13 · 10th–90th $6–$560%10%20%10th90th$13Professionalmedian $7 · 10th–90th $5–$120%10%10th90th$7$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
$5.01 / $7.08 / $10.00
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $12.30 / $12.59
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $37.15 / $70.79
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $12.30 / $12.88
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $14.79 / $26.30
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $16.98 / $17.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $7.41 / $7.76
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $5.75 / $9.12
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $9.33 / $25.70
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.00 / $15.14
Priority Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $7.41 / $7.76
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $5.75 / $9.12
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.39 / $4.68 / $7.76
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $5.75 / $8.71