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Michigan rates for HCPCS A5071

Ostomy Pouch Urinary; With Barrier Attached (1 Piece) Each (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.39 / $6.39 / $6.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.63 / $6.39 / $6.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.71 / $25.56 / $46.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.98 / $8.40 / $11.34
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.46 / $5.46 / $5.46
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.72 / $6.72 / $6.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.04 / $5.04 / $5.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $5.19 / $6.98
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.91 / $4.34 / $6.39
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.04 / $6.39 / $8.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.68 / $4.61 / $6.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.79 / $3.94 / $6.98