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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

Facilitymedian $12 · 10th–90th $6$540%10%20%10th90th$12Professionalmedian $7 · 10th–90th $5$120%10%10th90th$7$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
$8.91 / $8.91 / $8.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.08 / $10.00
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $12.02
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $35.48 / $69.18
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $12.59
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $7.76 / $7.76
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.59
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $8.71
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $9.33 / $25.12
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $9.55 / $15.14
Priority Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.59
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $8.91
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.24 / $4.57 / $7.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $5.62 / $8.51