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Minnesota rates for HCPCS A4360

Adult Incontinence Garment (E.G. Brief Diaper) Each (Not Covered By Medicare. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.44 / $0.44 / $0.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.44 / $0.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.59 / $0.83 / $1.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.67 / $0.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.19 / $2.06 / $4.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.87 / $0.95
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.17 / $1.90 / $4.53
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.75 / $0.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $0.69 / $1.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.32 / $1.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.32 / $0.69