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Michigan rates for HCPCS A4414

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.23 / $5.23 / $5.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.79 / $5.23 / $5.23
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $4.12 / $4.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.40 / $20.72 / $37.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.53 / $6.87 / $9.27
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.23 / $6.87 / $10.21
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $8.93 / $9.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.13 / $4.13 / $4.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.51 / $4.25 / $5.72
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.55 / $4.97 / $5.23
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.79 / $5.23 / $7.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $3.81 / $5.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $3.23 / $4.93