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Michigan rates for HCPCS A4430

Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.06 / $9.06 / $9.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.56 / $9.06 / $9.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.01 / $35.89 / $65.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.31 / $11.90 / $16.07
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.74 / $7.74 / $7.74
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.52 / $9.52 / $9.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.15 / $7.15 / $7.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $7.36 / $9.89
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.43 / $8.60 / $9.36
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.15 / $9.06 / $12.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.82 / $6.03 / $8.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.95 / $5.53 / $8.41