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Michigan rates for HCPCS A5093

Ostomy accessory; convex insert

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.47 / $8.13 / $15.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $2.75 / $2.88
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.78 / $1.78 / $1.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $1.62 / $1.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $1.62 / $3.02
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.48 / $1.62 / $5.75
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.19 / $3.31
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $1.62 / $1.62
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $1.62 / $1.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $1.05 / $1.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $1.29 / $1.95