go back

Michigan rates for HCPCS A4425

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

Facilitymedian $4 · 10th–90th $3$200%20%10th90th$4Professionalmedian $3 · 10th–90th $2$50%20%10th90th$3$0.1$0.2$1.0$5.0$20.0

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
$3.02 / $3.02 / $3.80
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $3.98
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.88 / $5.01 / $5.13
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.61 / $15.14 / $28.84
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $5.25
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.88 / $6.03 / $10.72
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.08 / $7.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.16
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $2.51 / $3.72
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.82 / $3.16 / $10.47
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $3.98 / $6.17
Priority Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.16
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $2.51 / $3.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.38 / $1.95 / $3.16
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.66 / $2.34 / $3.55