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Michigan rates for HCPCS A5071

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $6.03 / $6.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $5.01 / $7.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $25.12 / $47.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $8.32 / $8.91
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $5.50 / $5.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.01 / $5.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $5.01 / $9.77
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $4.37 / $17.78
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $6.76 / $10.23
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.01 / $5.37
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $5.01 / $5.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $3.24 / $5.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $3.98 / $6.03