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Minnesota rates for HCPCS A4376

Ostomy Pouch Drainable With Faceplate Attached Rubber Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.39 / $42.39 / $42.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.05 / $42.39 / $48.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $70.95 / $93.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.18 / $64.48 / $66.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.94 / $204.84 / $568.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.25 / $81.89 / $98.11
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.61 / $196.53 / $447.98
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.25 / $77.25 / $79.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.75 / $66.48 / $312.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.80 / $31.30 / $66.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.80 / $28.19 / $66.76