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Michigan rates for HCPCS A4412

Ostomy pouch, drainable, high output, for use on a barrier with flange (two-piece system), without filter, each

Facilitymedian $5 · 10th–90th $2–$170%10%20%10th90th$5Professionalmedian $2 · 10th–90th $1–$40%20%40%10th90th$2$0.1$0.2$1.0$5.0$20.0

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
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.02
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $11.48 / $21.88
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $3.98
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.45 / $2.45 / $2.45
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $2.29 / $2.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $2.45 / $2.82
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $6.17 / $7.94
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $5.01
Priority Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $2.29 / $2.82
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $2.45 / $2.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.05 / $1.45 / $2.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.26 / $1.78 / $2.69