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Minnesota rates for HCPCS A4375

Ostomy Pouch Drainable With Faceplate Attached Plastic Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.30 / $15.30 / $15.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.49 / $15.30 / $17.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $25.60 / $33.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.19 / $23.27 / $23.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.93 / $74.48 / $206.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.75 / $29.42 / $35.24
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.22 / $71.47 / $162.90
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.75 / $27.75 / $28.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.77 / $23.99 / $112.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.78 / $11.30 / $24.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.78 / $10.18 / $24.09