go back

Michigan rates for HCPCS A4418

Ostomy Pouch Closed; Without Barrier Attached With Filter (1 Piece) Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.93 / $1.93 / $1.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.93 / $1.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.83 / $7.63 / $13.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.52 / $3.42
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.64 / $1.64 / $1.64
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.69 / $1.69 / $1.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.27 / $1.69 / $2.11
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $1.83 / $1.93
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.54 / $1.93 / $2.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.01 / $1.27 / $1.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.84 / $1.17 / $1.81