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Michigan rates for HCPCS A4424

Ostomy pouch, drainable, with barrier attached, with filter (one piece), each

Facilitymedian $7 · 10th–90th $3–$300%10%20%10th90th$7Professionalmedian $4 · 10th–90th $3–$70%10%20%10th90th$4$0.1$0.5$2.0$10.0$50.0

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
$5.01 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $5.01
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $6.76 / $6.76
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $19.95 / $38.02
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $6.61 / $6.92
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.37 / $4.37 / $4.37
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $4.27
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $3.39 / $5.01
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $4.79 / $13.80
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $5.25 / $8.51
Priority Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $4.27
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $3.39 / $5.01
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.82 / $2.57 / $4.27
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $3.09 / $4.79