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Minnesota rates for HCPCS A4373

Ostomy Skin Barrier With Flange (Solid Flexible Or Accordion) With Built-In Convexity Any Size Each (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.58 / $5.58 / $5.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.83 / $5.58 / $6.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $9.35 / $12.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.01 / $8.50 / $8.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.26 / $26.90 / $74.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.13 / $10.73 / $12.86
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.97 / $25.81 / $58.83
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.13 / $10.13 / $10.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.47 / $8.76 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.48 / $4.15 / $8.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.48 / $4.12 / $8.78