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Michigan rates for HCPCS A5081

Stoma plug or seal, any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.00 / $3.00 / $3.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.56 / $3.00 / $3.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.96 / $11.88 / $21.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.74 / $3.94 / $5.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.83 / $2.83 / $3.01
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.15 / $3.15 / $3.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.60 / $2.60 / $2.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.87 / $2.60 / $3.60
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.84 / $2.84 / $3.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.36 / $3.00 / $4.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.49 / $1.87 / $2.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.54 / $1.88 / $2.81