go back

Michigan rates for HCPCS A4408

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, with built-in convexity, larger than 4 x 4 in, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.96 / $10.50 / $10.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.61 / $10.50 / $10.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.88 / $41.95 / $75.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.10 / $13.79 / $18.62
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.96 / $8.96 / $8.96
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.03 / $11.03 / $11.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.28 / $8.28 / $8.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.54 / $8.28 / $11.47
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.96 / $9.38 / $9.96
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.27 / $10.50 / $14.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.23 / $6.54 / $9.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.58 / $6.36 / $9.75