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Michigan rates for HCPCS A4409

Ostomy Skin Barrier With Flange (Solid Flexible Or Accordion) Extended Wear Without Built-In Convexity 4 X 4 Inches Or Smaller Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.61 / $6.61 / $6.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $6.61 / $6.61
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $8.67 / $8.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.13 / $26.15 / $47.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.24 / $8.67 / $11.70
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.64 / $8.67 / $12.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.94 / $11.27 / $12.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.22 / $5.22 / $5.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.44 / $5.38 / $7.22
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.70 / $6.28 / $6.61
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.55 / $6.61 / $8.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.05 / $5.07 / $7.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $4.08 / $6.14