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Michigan rates for HCPCS A5062

Ostomy Pouch Drainable; Without Barrier Attached (1 Piece) Each(Updated 01-01-2003) 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.34 / $2.34 / $2.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.60 / $2.34 / $2.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.66 / $9.28 / $16.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $3.08 / $4.16
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.89 / $1.89 / $2.02
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $2.50 / $2.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.87 / $1.87 / $2.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.65 / $1.94 / $2.56
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.22 / $2.34 / $4.61
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.84 / $2.34 / $3.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $1.94 / $2.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.44 / $2.19