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Michigan rates for HCPCS A4415

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

Facilitymedian $9 · 10th–90th $4–$380%10%20%10th90th$9Professionalmedian $5 · 10th–90th $4–$80%20%10th90th$5$0.1$0.5$2.0$10.0$50.0

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
$6.03 / $6.03 / $6.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $5.01 / $7.08
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $25.12 / $47.86
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $8.71
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $5.50 / $5.50
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $5.37
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $6.17
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $6.03 / $17.78
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $6.76 / $10.72
Priority Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $5.37
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $6.92
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $3.24 / $5.37
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.75 / $3.89 / $6.03