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Michigan rates for HCPCS A4411

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in convexity, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.42 / $5.42 / $5.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.92 / $5.42 / $5.42
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.63 / $4.63 / $4.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.78 / $21.47 / $39.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $7.12 / $9.61
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.63 / $4.63 / $4.63
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.70 / $5.70 / $5.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.28 / $4.28 / $4.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.64 / $4.41 / $5.92
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.15 / $5.15 / $5.42
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $5.42 / $7.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.07 / $3.84 / $5.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $3.35 / $5.09