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Michigan rates for HCPCS A5093

Ostomy accessory; convex insert

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.08 / $2.08 / $2.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.28 / $2.08 / $2.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.13 / $8.23 / $14.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.59 / $2.73 / $3.69
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.77
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.96 / $1.96 / $1.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.64 / $1.64 / $1.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.28 / $1.64 / $2.27
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.47 / $1.63 / $2.08
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.63 / $2.08 / $2.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.28 / $2.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.97 / $1.28 / $1.95