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Minnesota rates for HCPCS A4330

Perianal fecal collection pouch with adhesive, 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 / $6.03 / $7.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $10.47 / $16.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $9.55 / $9.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $30.90 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $12.02 / $13.80
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $31.62 / $66.07
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $10.96 / $12.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.76 / $9.55 / $13.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $4.27 / $9.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $4.27 / $10.72