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Michigan rates for HCPCS A4421

Ostomy supply; miscellaneous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.00 / $5.00 / $5.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $5.00 / $5.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.52 / $3.16 / $5.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $1.04 / $1.40
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.24 / $0.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.55 / $22.55 / $22.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.17 / $22.55 / $23.23
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.03 / $3.03 / $5.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.03 / $3.80 / $5.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.20 / $30.00 / $75.00