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Michigan rates for HCPCS A5051

Ostomy pouch, closed; with barrier attached (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.19 / $2.19 / $2.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.59 / $2.19 / $2.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.36 / $8.68 / $15.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.74 / $2.88 / $3.89
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.87 / $1.87 / $1.87
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.29 / $2.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.73 / $1.73 / $1.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.73 / $2.40
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.09 / $2.10 / $2.33
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $2.19 / $3.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.31 / $1.64 / $2.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $1.33 / $1.99