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Michigan rates for HCPCS A4423

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

Facilitymedian $3 · 10th–90th $1–$120%10%20%10th90th$3Professionalmedian $1 · 10th–90th $1–$30%50%90th$1$0.0$0.1$0.5$2.0$10.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.39 / $7.76 / $14.79
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $2.57 / $2.69
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.70 / $1.70 / $1.70
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.55 / $1.55 / $1.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.32 / $1.45 / $1.86
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.51 / $1.66 / $5.50
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.04 / $3.16
Priority Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.55 / $1.55 / $1.66
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.32 / $1.45 / $2.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.71 / $1.00 / $1.66
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.85 / $1.23 / $1.86