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Michigan rates for HCPCS A4420

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.33 / $4.69 / $8.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.46 / $1.54 / $2.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.18 / $1.18 / $1.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.27 / $2.02 / $2.02
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $3.47 / $3.47
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $3.47 / $4.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.01 / $1.27 / $30.00