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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $5.01 / $7.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $10.23 / $15.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $8.71 / $8.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $33.11 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $11.48 / $12.88
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $32.36 / $61.66
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $10.23 / $10.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.80 / $8.71 / $79.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $3.72 / $9.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.06 / $3.39 / $3.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $4.17 / $10.23