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Michigan rates for HCPCS A4410

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 in, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.61 / $9.61 / $9.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.97 / $9.61 / $9.61
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.95 / $10.95 / $10.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.12 / $38.43 / $69.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.00 / $12.63 / $17.05
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.21 / $8.21 / $8.21
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.10 / $10.10 / $10.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $7.59 / $8.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.99 / $7.82 / $10.50
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.93 / $9.13 / $9.92
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.15 / $9.61 / $13.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $5.99 / $8.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.19 / $5.93 / $8.93