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Michigan rates for HCPCS A4419

Ostomy pouch, closed; for use on barrier with nonlocking flange, with filter (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.09 / $7.24 / $13.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.40 / $2.51
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.58 / $1.58 / $1.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $1.45 / $1.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.45 / $2.63
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.48 / $1.62 / $5.13
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.95 / $2.95
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $1.45 / $1.55
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.45 / $1.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $0.93 / $1.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $1.12 / $1.74