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Michigan rates for HCPCS A4417

Ostomy Pouch Closed With Barrier Attached With Built-In Convexity With Filter (1 Piece) Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.97 / $3.97 / $3.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.87 / $3.97 / $3.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.89 / $15.85 / $28.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.95 / $5.21 / $7.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $3.39 / $3.39
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $4.17 / $4.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.13 / $3.13 / $3.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.64 / $3.22 / $4.33
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.76 / $3.76 / $3.97
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.97 / $5.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.11 / $2.64 / $3.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.84 / $2.44 / $3.72